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Msu Health Care Inc.

Organization Active NPI Institutional Pharmacy · East Lansing, MI

NPI 1467083485 · NPPES record last updated Nov 13, 2023

Key facts

NPI
1467083485
Entity type
Organization (NPI type 2)
Primary specialty
Institutional Pharmacy 3336I0012X
Legal business name
MSU HEALTH CARE INC.
Practice address
4660 S Hagadorn Rd Ste 100
East Lansing, MI 48823-5353
Phone
(517) 355-0086
Fax
(517) 355-4738
NPI assigned
Jan 29, 2020
Organization subpart
Yes
Parent organization (as reported)
MSU HEALTH CARE INC.

Authorized official

Name
Sandra Angela Campbell, PHARM D.
Title
Pharmacy Director
Phone
(517) 353-3776

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 201

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 201

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20201125000095 MI Part B Supplier - Pharmacy 8628404936 Practice locations: East Lansing, MI

National Provider Directory

Tax ID family
Msu Health Care Inc (22 organizations share this tax ID)
Part of
Msu Health Care Inc

Locations

804 Service Rd
Rm 101A
East Lansing, MI 48824

3610 Forest Rd
Ste C
Lansing, MI 48910

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X Yes

Addresses

Primary practice location

4660 S Hagadorn Rd Ste 100
East Lansing, MI 48823-5353

Mailing address

804 Service Rd RM 101a
East Lansing, MI 48824-7015
Phone (517) 214-5740

Other names

  • MSU HEALTH CARE PHARMACY Doing business as

Other providers in East Lansing, MI

All providers in East Lansing, MI · Institutional Pharmacy in Michigan

Sources for this page

Verify at the official NPI Registry.