Organization
MED INDEX PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIL BABU GUNTUPALLI PHARMACIST (PHARMACY MANAGER)
(248) 821-1260
Entity
Organization
Contact information
Practice address
1639 E BIG BEAVER RD STE 101, TROY, MI 48083-2053
(248) 528-0888
(248) 526-0351
Mailing address
1639 E BIG BEAVER RD STE 101, TROY, MI 48083-2053
(248) 821-1260
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
5301009808
MI
333600000X
Pharmacy
—
—
Other
Enumeration date
05/04/2012
Last updated
08/26/2020
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