Organization
W A FOOTE MEMORIAL HOSPITAL INC
Active
Organization
W A FOOTE MEMORIAL HOSPITAL INC
Active
Other names
Allegiance Health Pharmacy #7378
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M. LEONARD (VP FINANCE)
(517) 205-7843
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4907
(517) 205-5947
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4907
(517) 789-5947
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2342208
NCPDP
—
Enumeration date
07/25/2006
Last updated
07/21/2022
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