Organization
MED SHOPPEE PC
Active
Organization
MED SHOPPEE PC
Active
Other names
MED SHOPPEE
Organization subpart
No
Provider details
NPI number
Authorized official
MURALI GINJUPALLI (PRESIDENT)
(989) 906-4232
Entity
Organization
Contact information
Practice address
2060 N CENTER RD, SAGINAW, MI 48603-3716
(989) 790-1875
(989) 790-1855
Mailing address
2060 N CENTER RD, SAGINAW, MI 48603-3716
(989) 790-1875
(989) 790-1855
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008840
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370966
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/03/2008
Last updated
08/11/2009
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