Organization
MUNSON HEALTHCARE CADILLAC
Active
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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