Organization
COVENANT MEDICAL CENTER INC
Active
Other names
Covenant HealthCare Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE LEE WERNETTE (DIRECTOR OF PHARMACY)
(989) 583-4075
Entity
Organization
Contact information
Practice address
700 COOPER AVE, SAGINAW, MI 48602-5383
(989) 583-6484
(989) 583-6351
Mailing address
700 COOPER AVE, SAGINAW, MI 48602-5383
(989) 583-6484
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301005282
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4104630
—
MI
Enumeration date
08/31/2006
Last updated
12/09/2016
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