Organization
SIRI PHARMACY AND MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAJSNDRANTH ATLURI (PHCST)
(248) 219-0160
Entity
Organization
Contact information
Practice address
31815 SOUTHFIELD RD, MED VILLAGE STE 22, BEVERLY HILLS, MI 48025-5471
(248) 203-0399
(248) 203-0388
Mailing address
2969 RIVER VALLEY DR, TROY, MI 48098-2394
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008565
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2369317
OTHER ID NUMBER
—
Enumeration date
01/08/2007
Last updated
10/04/2007
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