Organization · Type 2 NPI

Munson Medical Center

Specialty Pharmacy · Traverse City, MI

NPI number 1194425447 Active

Practice location

Foster Family Community Health Center, 550 Munson Ave Unit 4
Traverse City, MI 49686

Fax (231) 213-8716

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy	3336C0003X	None listed
Specialty Pharmacy Primary	3336S0011X	None listed

Specialty Pharmacy: 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.

NPI record

NPI: 1194425447
Entity type: Organization (Type 2)
Issued: Mar 6, 2023
Last updated: Dec 29, 2023
Status: Active
Subpart: Yes of Munson Medical Center

Other names

<unavail>
Munson Healthcare Specialty Pharmacy · doing business as
Munson Healthcare Specialty Pharmacy · doing business as

Authorized official

Kathleen Laraia
VP, Ancillary Services
(231) 392-8410

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194425447

Munson Medical Center's National Provider Identifier is 1194425447, issued on Mar 6, 2023. The primary taxonomy on file is Specialty Pharmacy (3336S0011X), and the practice location is in Traverse City, MI. The record was last updated on Dec 29, 2023.