Organization
SHRIEEJI INC
Active
Other names
milham pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANJAY G PATEL PHARMACIST (MANAGER)
(269) 888-2300
Entity
Organization
Contact information
Practice address
1716 W MILHAM AVE, PORTAGE, MI 49024-1230
(269) 888-2300
(269) 993-4749
Mailing address
1716 W MILHAM AVE, PORTAGE, MI 49024-1230
(269) 888-2300
(269) 993-4749
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301011453
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301011453
MICHIGAN PHARMACY LICENSE
MI
01
—
5315095380
MICHIGAN CONTROL SUBSTANCE LICENSE
MI
Enumeration date
08/30/2018
Last updated
01/30/2020
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