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Organization

SHREE OHM INC

Active
Other names
Romeo Plank Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MINAXI BIDJA (PRESIDENT)
(586) 315-2290
Entity
Organization

Contact information

Practice address
64580 VAN DYKE RD STE D, WASHINGTON, MI 48095
(586) 315-2290
(586) 315-2294
Mailing address
64580 VAN DYKE RD STE D, WASHINGTON, MI 48095-2811
(586) 315-2290
(586) 315-2294

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5301011181
MI
3336S0011X
Specialty Pharmacy

Other

Enumeration date
05/28/2017
Last updated
06/22/2018
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