Organization
MCLAREN CENTRAL MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SOULES (CFO)
(989) 772-6720
Entity
Organization
Contact information
Practice address
1221 SOUTH DR, MT PLEASANT, MI 48858-3258
(989) 772-6700
(989) 772-6807
Mailing address
1221 SOUTH DR, MT PLEASANT, MI 48858-3258
(989) 772-6700
(989) 772-6807
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2318651
—
MI
Enumeration date
10/31/2006
Last updated
01/03/2019
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