Organization
GURUKRUPA PHARMACY LLC
Active
Other names
Ferndale Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS PATHURI (PHARMACY MANAGER)
(248) 591-0050
Entity
Organization
Contact information
Practice address
825 W 9 MILE RD, FERNDALE, MI 48220-1267
(248) 591-0050
(248) 591-0080
Mailing address
825 W 9 MILE RD, FERNDALE, MI 48220-1267
(248) 591-0050
(248) 591-0080
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008985
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2371918
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/19/2008
Last updated
10/23/2009
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