Organization
BGS PHARMACY LLC
Active
Other names
Value Center Pharmacy I
Organization subpart
No
Provider details
NPI number
Authorized official
MURALI C GINJUPALLI (PRESIDENT)
(989) 906-4232
Entity
Organization
Contact information
Practice address
37155 HARPER AVE, CLINTON TOWNSHIP, MI 48036-3013
(586) 954-9100
(586) 954-9109
Mailing address
37155 HARPER AVE, CLINTON TOWNSHIP, MI 48036-3013
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009100
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119866
PK
—
Enumeration date
04/14/2009
Last updated
01/30/2022
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