STATE OF MICHIGAN is a long term care pharmacy pharmacy in Marquette, MI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. STATE OF MICHIGAN NPI is 1952704843. The provider is registered as an organization entity type.
The provider Other Name Is D J Jacobetti Home For Veterans.
The provider's business location address is:
425 FISHER ST
MARQUETTE, MI
ZIP 49855-521
Phone: (906) 226-3576
Fax: (906) 226-3507
The provider's authorized official is Bradley G Harvala .
The authorized official title is Pharmacy Director and has the following contact phone number (906) 226-3576.
The CLIA number assigned to this NPI record is 23D0985668 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/6/2014 and was last updated on 3/22/2017.