Provider Demographics
NPI:1114124260
Name:ARISUDAN INC.
Entity Type:Organization
Organization Name:ARISUDAN INC.
Other - Org Name:BEST CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-427-1500
Mailing Address - Street 1:PO BOX 87243
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-0243
Mailing Address - Country:US
Mailing Address - Phone:586-427-1500
Mailing Address - Fax:586-427-1545
Practice Address - Street 1:27101 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4730
Practice Address - Country:US
Practice Address - Phone:586-427-1500
Practice Address - Fax:586-427-1545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53150317463336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6076840001Medicare NSC