GRAND LEDGE APOTHECARY INC
Suppliers at Charlevoix Dr, Grand Ledge, MI

License number
Michigan 5301009958
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: ASHOK EDUPUGANTI
Title: PRESIDENT
Phone: (517) 622-4000
Address
Address
820 Charlevoix Dr UNIT 1H, Grand Ledge, MI 48837
National Provider ID: 1245575901
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GRAND LEDGE APOTHECARY, INC

Grand Ledge, MI  -  Lansing, MI

Registration:
Jun 13, 2012
Addresses:
820 Charlevoix Dr UNIT 1H, Grand Ledge, MI 48837 (Physical)
737 N Grand Ave, Lansing, MI 48906 (Mailing)
State ID:
04671R
Business type:
Domestic Profit Corporation
Agent:
Ashok Kumar Edupuganti

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