Organization
JAI CHAMUNDA INC
Active
Other names
Corner Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVESH PATEL (PRESIDENT/OWNER)
(231) 264-8033
Entity
Organization
Contact information
Practice address
154 RIVER ST, ELK RAPIDS, MI 49629-9614
(231) 264-8033
(231) 264-6484
Mailing address
7454 BRINDLE TRL, KALAMAZOO, MI 49009-4035
(231) 264-8033
(231) 264-6484
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010994
MI
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457466484
—
MI
01
—
2164429
PK
—
Enumeration date
08/20/2006
Last updated
01/18/2017
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