Organization
JAI CHAMUNDA MILLER INC
Active
Other names
MILLER PHARMACY, Miller Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVESH B PATEL (PRESIDENT)
(517) 741-3604
Entity
Organization
Contact information
Practice address
206 N BROADWAY ST, UNION CITY, MI 49094-1154
(517) 741-3604
(517) 741-7812
Mailing address
206 N BROADWAY ST, UNION CITY, MI 49094-1154
(517) 741-3604
(517) 741-7812
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301004334
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-A2-0255
BXBS/BCN
MI
05
—
310320
—
MI
05
—
3428160
—
MI
Enumeration date
06/26/2006
Last updated
04/09/2018
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