JAI CHAMUDA NEW HUDSON LLC
56270 Grand River Ave
New Hudson, MI 48165
248-486-0720
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | MI | |
Y | 3336C0003X | Suppliers - Pharmacy | MI | 5301005450 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
873124182 | MI | MEDICAID | |
NCPDP NUMBER | 2347688 | OTHER |