Organization
JAI SHREE UMIYA INC
Active
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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