Provider Demographics
NPI:1538237334
Name:LAKSHMI PHARMACY INC
Entity type:Organization
Organization Name:LAKSHMI PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PHCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JIGNESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:586-214-1333
Mailing Address - Street 1:15959 HALL RD
Mailing Address - Street 2:STE 101
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-5363
Mailing Address - Country:US
Mailing Address - Phone:586-532-4141
Mailing Address - Fax:248-832-0728
Practice Address - Street 1:15959 HALL RD
Practice Address - Street 2:STE 101
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-5363
Practice Address - Country:US
Practice Address - Phone:586-532-4141
Practice Address - Fax:248-832-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010085133336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2042536OtherPK