Organization
MA UMIYA LLC
Active
Other names
GARRETT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BHARAT PATEL (MANAGER)
(260) 445-6741
Entity
Organization
Contact information
Practice address
112 N RANDOLPH ST, GARRETT, IN 46738-1138
(260) 357-0111
(260) 357-0122
Mailing address
112 N RANDOPH ST, GARRETT, IN 46738
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006380A
IN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145056
PK
—
Enumeration date
05/20/2014
Last updated
05/20/2014
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