Organization
BRONSON METHODIST HOSPITAL
Active
Other names
Bronson Pharmacy-Mattawan
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA EAST (CFO)
(269) 341-8536
Entity
Organization
Contact information
Practice address
451 HEALTH PKWY, PAW PAW, MI 49079-8242
(269) 668-6205
(269) 668-5071
Mailing address
52375 N MAIN ST, MATTAWAN, MI 49071-9332
(269) 668-6205
(269) 668-5071
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301006938
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2359607
NABP NUMBER
MI
Enumeration date
08/26/2005
Last updated
03/10/2021
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