Organization
MUNSON HEALTHCARE CADILLAC
Active
Other names
Munson Healthcare Cadillac Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN LARAIA (VP, ANCILLARY SERVICES)
(231) 392-8410
Entity
Organization
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7374
(231) 876-7894
Mailing address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7374
(231) 876-7498
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010627
MI
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152752
PK
—
Enumeration date
09/28/2006
Last updated
12/29/2023
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