Organization
JAY KRISHNA LLC
Active
Other names
caremax medical pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAYSHREE GANDHI (REGISTERED PHARMACIST)
(734) 455-6060
Entity
Organization
Contact information
Practice address
7309 N LILLEY RD, CANTON, MI 48187-2457
(734) 455-6060
(734) 446-6909
Mailing address
7309 N LILLEY RD, CANTON, MI 48187-2457
(734) 455-6060
(734) 446-6909
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009391
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374344
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/29/2010
Last updated
09/13/2010
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