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Organization

JAY GAYATRI INC

Active
Other names
CANAL PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
KANAIYALAL PATEL RPH (MANAGER/PIC)
(586) 439-3550
Entity
Organization

Contact information

Practice address
2405 E 14 MILE RD, STERLING HEIGHTS, MI 48310-5961
(586) 439-3550
(586) 646-2584
Mailing address
380 ASHLAWN CT, TROY, MI 48083-6500
(586) 439-3550
(586) 646-2584

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5301010432
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2144859
PK
Enumeration date
03/21/2014
Last updated
05/14/2015
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