Organization
BRONSON SOUTH HAVEN HOSPITAL
Active
Parent organization
BRONSON SOUTH HAVEN HOSPITAL
Other names
Bronson South Haven Retail Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRONSON SOUTH HAVEN HOSPITAL
Authorized official
REBECCA EAST (CFO)
(269) 341-6000
Entity
Organization
Contact information
Practice address
955 S BAILEY AVE, SOUTH HAVEN, MI 49090-6743
(269) 639-2859
(269) 639-2860
Mailing address
955 S BAILEY AVE, SOUTH HAVEN, MI 49090-6743
(269) 639-2859
(269) 639-2860
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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