Organization
PRAMUKH ASHISH LLC
Active
Other names
Davis Cut Rate Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEJAS SHAH (OWNER/PIC)
(313) 861-9300
Entity
Organization
Contact information
Practice address
14039 W MCNICHOLS RD, DETROIT, MI 48235-3929
(313) 861-9300
(313) 861-3359
Mailing address
14039 W MCNICHOLS RD, DETROIT, MI 48235-3929
(313) 861-9300
(313) 861-3359
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301004485
STATE PHARMACY LICENSE
MI
Enumeration date
02/11/2019
Last updated
06/11/2019
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