Organization
HASLETT PHARMACY LLC
Active
Other names
CENTRAL PHARMACY HASLETT LLC, Haslett Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA KANDAGATLA (OWNER)
(517) 339-0300
Entity
Organization
Contact information
Practice address
1620 HASLETT RD STE B, HASLETT, MI 48840-8457
(517) 339-0300
(517) 339-0333
Mailing address
1620 HASLETT RD STE B, HASLETT, MI 48840-8457
(517) 339-0300
(517) 339-0333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009639
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131719
PK
—
05
—
2375815
—
MI
Enumeration date
08/29/2011
Last updated
09/30/2025
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