MEDICARE: ASTHA 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	333600000X	Pharmacy	5301009607	MI

General Provider Information

NPI Number	:	1407142045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTHA INC

Provider Business Mailing Address
First Line	:	44830 STOCKTON DR
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48377-2553
Country	:	US
Telephone Number	:	312-330-3723
Fax Number	:	517-394-7750

Provider Business Practice Location Address
First Line	:	6250 S CEDAR ST STE 2
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-5700
Country	:	US
Telephone Number	:	517-394-7760
Fax Number	:	517-394-7750

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	HIREN PATEL
Credential	:	RPH
Telephone Number	:	517-394-7760

Provider Enumeration Date	:	06/22/2011
Last Update Date	:	06/22/2011

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Directions to “ASTHA INC ” Practice Location

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