Organization
ASPIRUS KEWEENAW
Active
Other names
Aspirus Keweenaw Pharmacy - Laurium
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization
Contact information
Practice address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6575
(906) 337-6576
Mailing address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6575
(906) 337-6576
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
5301006759
MI
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3451598
—
MI
Enumeration date
09/21/2006
Last updated
06/06/2024
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