Organization
SHREE RADHEKRISHNA LLC
Active
Other names
Cadila Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HITESH UPADHYAY RPH (PRESIDENT)
(586) 817-0497
Entity
Organization
Contact information
Practice address
23832 SOUTHFIELD RD, SOUTHFIELD, MI 48075-8000
(248) 557-9333
(248) 557-4970
Mailing address
23832 SOUTHFIELD RD, SUITE 2, SOUTHFIELD, MI 48075-8000
(248) 557-9333
(248) 557-4970
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009515
MI
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128893
PK
—
Enumeration date
02/16/2011
Last updated
03/20/2017
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