Organization
ADP2 CO
Active
Organization
ADP2 CO
Active
Other names
Davenport Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESH PATEL (PRESIDENT)
(989) 497-1005
Entity
Organization
Contact information
Practice address
3406 DAVENPORT AVE, SAGINAW, MI 48602-3374
(989) 497-1005
(989) 497-1015
Mailing address
3406 DAVENPORT AVE, SAGINAW, MI 48602-3374
(989) 497-1005
(989) 497-1015
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009323
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373948
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/07/2010
Last updated
03/28/2011
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