MEDICARE: NARAYAN PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	5301008878	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2371297	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396905758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NARAYAN PHARMACY INC

Provider Business Mailing Address
First Line	:	4250 N SAGINAW ST
Second Line	:	STE C
City	:	FLINT
State	:	MI
Zip	:	48505-5332
Country	:	US
Telephone Number	:	810-787-9000
Fax Number	:	810-787-1722

Provider Business Practice Location Address
First Line	:	4250 N SAGINAW ST
Second Line	:	STE C
City	:	FLINT
State	:	MI
Zip	:	48505-5332
Country	:	US
Telephone Number	:	810-787-9000
Fax Number	:	810-787-1722

Authorized Official
Title or Position	:	OWNER
Name	:	BIMAL PATEL
Credential	:	B.PHARMACY
Telephone Number	:	810-787-9000

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	10/21/2009

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