Individual
ADINARAYANA ANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 HINCKLEY BLVD, JACKSON, MI 49203-5313
(517) 784-3184
(517) 784-2202
Mailing address
210 HINCKLEY BLVD, JACKSON, MI 49203-5313
(517) 784-3184
(517) 784-2202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042414
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302042414
PHARMACIST LICENSE NUMBER
MI
Enumeration date
12/28/2015
Last updated
12/28/2015
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