Organization
SHASAM DRUGS PC
Active
Other names
Birch Run Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MURALI GINJUPALLI (PRESIDENT)
(989) 624-9231
Entity
Organization
Contact information
Practice address
8501 MAIN ST, BIRCH RUN, MI 48415-7734
(989) 624-9231
(989) 624-4093
Mailing address
8501 MAIN ST, BIRCH RUN, MI 48415-7734
(989) 624-9231
(989) 624-4093
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010658
MI
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149483
PK
—
Enumeration date
11/03/2006
Last updated
01/30/2022
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