Organization
ANATRUP INC.
Active
Other names
Grand River Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOKESH TAYAL (PRESIDENT)
(313) 412-9220
Entity
Organization
Contact information
Practice address
19460 GRAND RIVER AVE, DETROIT, MI 48223-1200
(313) 533-0560
Mailing address
PO BOX 87410, CANTON, MI 48187-0410
(313) 533-0560
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008825
MI
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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