Organization
JAI SHREE UMIYA INC
Active
Other names
Stonebridge Retail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MINAXI BIDJA (PRESIDENT)
(586) 690-4303
Entity
Organization
Contact information
Practice address
13350 24 MILE RD STE 300, SHELBY TOWNSHIP, MI 48315
(586) 690-4303
(586) 690-4296
Mailing address
13350 24 MILE RD, SUITE 300, SHELBY TOWNSHIP, MI 48315-1814
(586) 690-4303
(586) 690-4296
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010911
MI
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159395
PK
—
Enumeration date
04/05/2016
Last updated
09/06/2018
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