Organization
INDEX MEDS PHARMACY NO-3 LLC
Active
Organization
INDEX MEDS PHARMACY NO-3 LLC
Active
Other names
Index Meds Pharmacy No-3 LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUNITHA ATLURI (OWNER)
(248) 267-6534
Entity
Organization
Contact information
Practice address
28350 GRATIOT AVE, ROSEVILLE, MI 48066-4208
(248) 267-6534
Mailing address
190 HADSELL DR, BLOOMFIELD HILLS, MI 48302-0408
(248) 267-6534
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5315070945
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152547
PK
—
Enumeration date
06/17/2015
Last updated
06/17/2015
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