Organization
HASLETT PHARMACY LLC
Active
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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