Organization
WESTNEDGE MEDICINE INC
Active
Other names
Westnedge Hardings Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIGAR PATEL (PIC)
(269) 830-0277
Entity
Organization
Contact information
Practice address
6390 S WESTNEDGE AVE, PORTAGE, MI 49002-3572
(269) 327-4508
(269) 327-6740
Mailing address
6390 S WESTNEDGE AVE, PORTAGE, MI 49002-3572
(269) 327-4508
(269) 327-6740
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301006396
MI
333600000X
Pharmacy
5301006396
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301006396
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2355611
NCPDP
—
Enumeration date
08/24/2006
Last updated
08/11/2022
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