Organization
VJKR LTD
Active
Other names
Noble Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY RAVAL (PRESIDENT)
(810) 715-5470
Entity
Organization
Contact information
Practice address
5097 MILLER RD, FLINT, MI 48507-1066
(810) 715-5470
(810) 715-5475
Mailing address
5097 MILLER RD, FLINT, MI 48507-1066
(810) 715-5470
(810) 715-5475
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2375360
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/07/2011
Last updated
04/12/2011
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