Provider Demographics
NPI:1073743282
Name:RIDDHIJI INC
Entity Type:Organization
Organization Name:RIDDHIJI INC
Other - Org Name:CARE FOR YOU PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KOMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHARYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-659-7777
Mailing Address - Street 1:14825 W MCNICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-3939
Mailing Address - Country:US
Mailing Address - Phone:313-659-7777
Mailing Address - Fax:313-659-9778
Practice Address - Street 1:14825 W MCNICHOLS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3939
Practice Address - Country:US
Practice Address - Phone:313-659-7777
Practice Address - Fax:313-659-9778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010091413336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2373114OtherNCPDP PROVIDER IDENTIFICATION NUMBER