Organization
MADHAV PHARMACY LLC
Active
Organization
MADHAV PHARMACY LLC
Active
Other names
Lakewood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SRINIVAS SANIKOMMU (MEMBER)
(586) 359-2326
Entity
Organization
Contact information
Practice address
24800 HARPER AVE, SUITE 2, SAINT CLAIR SHORES, MI 48080-1292
(586) 359-2326
(586) 200-2051
Mailing address
24800 HARPER AVE, SUITE 2, SAINT CLAIR SHORES, MI 48080-1292
(586) 359-2326
(586) 200-2051
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010150
MI
Other
Enumeration date
08/12/2013
Last updated
06/08/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up