MEDICARE: OAK RIDGE PHARMACY

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	5302042361	MI

General Provider Information

NPI Number	:	1952813982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK RIDGE PHARMACY

Provider Business Mailing Address
First Line	:	505 COLUMBIA AVE E
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5412
Country	:	US
Telephone Number	:	269-274-9943
Fax Number	:	269-224-6335

Provider Business Practice Location Address
First Line	:	505 COLUMBIA AVE E
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5412
Country	:	US
Telephone Number	:	269-274-9943
Fax Number	:	269-224-6335

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	SUBRAMANIAM K RANGAN
Credential	:
Telephone Number	:	269-274-9943

Provider Enumeration Date	:	10/31/2017
Last Update Date	:	09/19/2025

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