Organization
MEDSHOP PHARMACY LLC
Active
Other names
MEDSHOP PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANNAMALAI PERUMAL RPH (PHARMACIST)
(248) 268-1714
Entity
Organization
Contact information
Practice address
1964 W 11 MILE RD STE C, BERKLEY, MI 48072-3046
(248) 268-1714
(248) 268-1634
Mailing address
1964 W 11 MILE RD STE C, BERKLEY, MI 48072-3046
(248) 268-1714
(248) 268-1634
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176962
PK
—
Enumeration date
12/26/2017
Last updated
06/01/2021
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