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Organization

KESHAV INC

Active
Other names
Prestige Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
VIKAS SHARMA (PRESIDENT)
(313) 870-9207
Entity
Organization

Contact information

Practice address
9053 WOODWARD AVE, DETROIT, MI 48202
(313) 870-9207
(313) 870-9201
Mailing address
9053 WOODWARD, DETROIT, MI 48202
(313) 870-9207
(313) 870-9201

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
5301008826
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2371994
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
10/08/2008
Last updated
11/11/2009
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