Provider Demographics
NPI:1962431742
Name:THE APOTHECARY DRUGS, INC.
Entity type:Organization
Organization Name:THE APOTHECARY DRUGS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:EDUPUGANTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-482-0882
Mailing Address - Street 1:737 N GRAND AVE STE 1B
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-5160
Mailing Address - Country:US
Mailing Address - Phone:517-482-0882
Mailing Address - Fax:517-485-4772
Practice Address - Street 1:737 N GRAND AVE STE 1B
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-5160
Practice Address - Country:US
Practice Address - Phone:517-482-0882
Practice Address - Fax:517-485-4772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301008401332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4886277Medicaid
MI540C31394OtherBCBS OF MICHIGAN
MI540C31394OtherBCBS OF MICHIGAN
MI4886277Medicaid