Organization
CEREAL CITY MEDICAL INC
Active
Other names
Cereal City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUBRAMANIAN RANGAN (PRESIDENT)
(269) 948-2080
Entity
Organization
Contact information
Practice address
3600 CAPITAL AVE SW, STE 202, BATTLE CREEK, MI 49015-9393
(269) 979-1221
(269) 979-2511
Mailing address
3600 CAPITAL AVE SW, STE 202, BATTLE CREEK, MI 49015-9393
(269) 979-1221
(269) 979-2511
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301009930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149649
PK
—
Enumeration date
01/24/2013
Last updated
09/21/2015
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