Provider Demographics
NPI:1366433575
Name:CLINICAL HOSPITAL PHARMACY MANAGEMENT, P.C.
Entity type:Organization
Organization Name:CLINICAL HOSPITAL PHARMACY MANAGEMENT, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HERMAN
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:II
Authorized Official - Credentials:RPH
Authorized Official - Phone:989-695-6500
Mailing Address - Street 1:PO BOX 519
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48623-0519
Mailing Address - Country:US
Mailing Address - Phone:989-695-6500
Mailing Address - Fax:
Practice Address - Street 1:7620 MIDLAND RD
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:MI
Practice Address - Zip Code:48623-8705
Practice Address - Country:US
Practice Address - Phone:989-695-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010075703336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty