Organization
OM SHRI CORPORATION
Active
Other names
bryans corner pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NUTAN MOTICHAND SHAH R PH (OFFICER)
(810) 793-5006
Entity
Organization
Contact information
Practice address
6002 N LAPEER RD, NORTH BRANCH, MI 48461-9730
(810) 793-5006
(810) 793-5101
Mailing address
6002 N LAPEER RD, NORTH BRANCH, MI 48461-9730
(810) 793-5006
(810) 793-5101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301007648
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2356156
NABP#
—
05
—
2356156
—
MI
Enumeration date
12/06/2006
Last updated
09/02/2009
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