Organization
MERCY MEMORIAL HOSPITAL CORPORTATION
Active
Other names
Mercy Macomb Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LIEBNER (PHARMACIST)
(734) 240-4100
Entity
Organization
Contact information
Practice address
718 N MACOMB ST, SUITE 305, MONROE, MI 48162-7815
(737) 240-4100
Mailing address
718 N MACOMB ST, SUITE 305, MONROE, MI 48162-7815
(737) 240-4100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
580030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2349783
NABP
MI
05
—
2825862
—
MI
Enumeration date
03/05/2007
Last updated
03/07/2023
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