Organization
ANANATA LLC
Active
Organization
ANANATA LLC
Active
Other names
Prestige Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
PRITPAL SACHDEVA (MANAGER)
(313) 412-9220
Entity
Organization
Contact information
Practice address
116 W 8 MILE RD, HAZEL PARK, MI 48030-2433
(248) 548-9935
(248) 548-9925
Mailing address
116 W 8 MILE RD, HAZEL PARK, MI 48030-2433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008891
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2371590
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/14/2008
Last updated
03/16/2009
Update your record
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