State of Michigan
State of Michigan is a Pharmacy in Marquette, Michigan. Licensed in Michigan. Registered with an NPI since 2014.
- Licensed in
- MI
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
425 Fisher StMarquette, MI 49855-4521
Phone: (906) 226-3576
Fax: (906) 226-3507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X · Licence 5301005604 (MI) |
|---|---|
| Pharmacy | Taxonomy 333600000X · Licence 5302027451 (MI) |
| Institutional Pharmacy | Taxonomy 3336I0012X · Licence 5302027451 (MI) |
Record details
| NPI number | 1952704843 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bradley Harvala — Pharmacy Director · (906) 226-3576 |
| Other names | D J Jacobetti Home For Veterans |
| NPI enumerated | October 6, 2014 |
| Last updated in NPPES | March 22, 2017 |
| Mailing address | 425 Fisher St, Marquette, MI 49855-4521 |
Other providers in Marquette
-
Northern Michigan University
1401 Presque Isle Ave, Marquette, MI 49855-2818 · (906) 227-2355