Healthcare Provider Details

I. General information

NPI: 1508197419
Provider Name (Legal Business Name): REGENTS OF THE UNIVERSITY OF MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2010
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WALL ST ROOM 4114
ANN ARBOR MI
48105-1912
US

IV. Provider business mailing address

PO BOX 223010
PITTSBURGH PA
15251-2010
US

V. Phone/Fax

Practice location:
  • Phone: 734-232-8224
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAVID MILLER
Title or Position: PRESIDENT
Credential: MD
Phone: 734-936-4000