NPI 1194767996
State of Michigan Office of Financial Management
Practice location
- Address
- 2040 Chambers Rd, Caro, MI 48723
- Phone
- (989) 672-9261
- Fax
- (989) 673-6749
- Mailing address
- PO Box 30437, Lansing, MI 48909-7937
Authorised official
- Name
- Jeffery Wieferich
- Title
- Senior Executive
- Phone
- (517) 335-0499
Registered specialties (3)
Psychiatric Hospital
Primary
Long Term Care Pharmacy
Registry record
- NPI
- 1194767996
- Entity type
- Organization
- NPI issued
- 13 Jun 2006
- Record last updated
- 28 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.