Organization
VJK CORP
Active
Other names
Diamond Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY RAVAL (PRESIDENT)
(269) 226-9000
Entity
Organization
Contact information
Practice address
119 E PATERSON ST, KALAMAZOO, MI 49007-2530
(269) 226-9000
(269) 226-9033
Mailing address
119 E PATERSON ST, KALAMAZOO, MI 49007-2530
(269) 226-9000
(269) 226-9033
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009448
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374724
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/18/2010
Last updated
11/24/2010
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