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MUNSON MEDICAL CENTER NPI 1194425447


NPI Information

NPI: 1194425447
Provider Name: MUNSON MEDICAL CENTER

Doing Business As: MUNSON HEALTHCARE SPECIALTY PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
FOSTER FAMILY COMMUNITY HEALTH CENTER
550 MUNSON AVE UNIT 4
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 935-8736
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MUNSON MEDICAL CENTER is a specialty pharmacy pharmacy in Traverse City, MI. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. MUNSON MEDICAL CENTER NPI is 1194425447. The provider is registered as an organization entity type.
The provider Is Doing Business As Munson Healthcare Specialty Pharmacy.

The provider's business location address is:

FOSTER FAMILY COMMUNITY HEALTH CENTER
550 MUNSON AVE UNIT 4
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 935-8736
Fax: (231) 213-8716

The provider's authorized official is Kathleen Laraia .
The authorized official title is Vp, Ancillary Services and has the following contact phone number (231) 392-8410.

The enumeration date for this NPI number is 3/6/2023 and was last updated on 12/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336S0011XPharmacySpecialty PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15171477MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.