Organization
MACKINAW STREET PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MURALI CHAND GINJUPALLI (PRESIDENT)
(989) 270-1930
Entity
Organization
Contact information
Practice address
2125 MARSHALL CT, SAGINAW, MI 48602-3343
(989) 272-3453
(866) 207-4431
Mailing address
2125 MARSHALL CT, SAGINAW, MI 48602-3343
(989) 270-1930
(989) 244-0700
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/30/2022
Last updated
04/03/2023
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