Organization
LAANSA DRUGS LLC
Active
Organization
LAANSA DRUGS LLC
Active
Other names
Maplewood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MURALI CHAND GINJUPALLI R.PH (VICE PRESIDENT)
(989) 892-4531
Entity
Organization
Contact information
Practice address
920 N JOHNSON ST, BAY CITY, MI 48708-6250
(989) 892-4531
(989) 892-0946
Mailing address
920 N JOHNSON ST, BAY CITY, MI 48708-6250
(989) 892-4531
(989) 892-0946
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301005017
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2344480
—
MI
Enumeration date
07/19/2006
Last updated
01/30/2022
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