Organization
GANESHJI INC
Active
Other names
Be Well Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KOMAL ACHARYA (PRESIDENT)
(248) 547-5100
Entity
Organization
Contact information
Practice address
1964 W 11 MILE RD, BERKLEY, MI 48072-3046
(248) 547-5100
(248) 547-2453
Mailing address
1964 W 11 MILE RD, BERKLEY, MI 48072-3046
(248) 547-5100
(248) 547-5307
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009191
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373227
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/10/2009
Last updated
03/01/2011
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