Organization
VJR INC
Active
Other names
Tri-City Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
KOMAL ACHARYA (PRESIDENT)
(989) 667-9170
Entity
Organization
Contact information
Practice address
3720 KATALIN CT, BAY CITY, MI 48706-2160
(989) 667-9170
(989) 667-8493
Mailing address
3720 KATALIN CT, BAY CITY, MI 48706-2160
(989) 667-9170
(989) 667-8493
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009186
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373265
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/23/2009
Last updated
03/22/2011
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