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Organization

SHREE LAXMI LLC

Active
Other names
Erickson Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
PARTH S PATEL (OWNER)
(715) 823-2222
Entity
Organization

Contact information

Practice address
8 S MAIN ST, STE B, CLINTONVILLE, WI 54929-1565
(715) 823-2222
(715) 823-6000
Mailing address
8 S MAIN ST STE B, CLINTONVILLE, WI 54929-1565
(715) 823-2222
(715) 823-6000

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000279719
WI
01
2130012
PK
Enumeration date
05/09/2011
Last updated
11/01/2025
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