Provider Demographics
NPI:1922356591
Name:GINJUPALLI, MURALI C
Entity Type:Individual
Prefix:
First Name:MURALI
Middle Name:C
Last Name:GINJUPALLI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2897 CHURCHHILL LN
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2693
Mailing Address - Country:US
Mailing Address - Phone:989-906-4232
Mailing Address - Fax:866-207-4431
Practice Address - Street 1:2897 CHURCHHILL LN
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2693
Practice Address - Country:US
Practice Address - Phone:989-906-4232
Practice Address - Fax:866-207-4431
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035479183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist