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MYMICHIGAN MEDICAL CENTER ALPENA NPI 1467566364


NPI Information

NPI: 1467566364
Provider Name: MYMICHIGAN MEDICAL CENTER ALPENA
Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 23D0974955

Address:
1501 W CHISHOLM ST
OUTPATIENT PHARMACY
ALPENA, MI
ZIP 49707
Phone: (989) 356-8079
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MYMICHIGAN MEDICAL CENTER ALPENA is a pharmacist in Alpena, MI. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. MYMICHIGAN MEDICAL CENTER ALPENA NPI is 1467566364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1501 W CHISHOLM ST
OUTPATIENT PHARMACY
ALPENA, MI
ZIP 49707-401
Phone: (989) 356-8079
Fax: (989) 356-8076

The provider's authorized official is Susan Beth Hickok .
The authorized official title is Outpatient Pharmacy Manager and has the following contact phone number (989) 356-8079.

The CLIA number assigned to this NPI record is 23D0974955 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 9/9/2022.


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
1183500000XPharmacist5302021206MICHIGANYes

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
12312128MEDICAIDMICHIGAN

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.