Organization
JAY SHRI GANESH INC
Active
Organization
JAY SHRI GANESH INC
Active
Other names
Garfield Drug Mart
Organization subpart
No
Provider details
NPI number
Authorized official
MINAXI BIDJA (CO-OWNER)
(586) 554-2745
Entity
Organization
Contact information
Practice address
42086 GARFIELD RD, CLINTON TOWNSHIP, MI 48038
(586) 554-2745
(586) 554-2746
Mailing address
42086 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1643
(586) 554-2745
(586) 554-2746
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010596
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043629488
—
MI
01
—
2148637
PK
—
Enumeration date
08/11/2014
Last updated
08/31/2018
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