Organization
HASLETT PHARMACY LLC
Active
Other names
Central Pharmacy - Haslett
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA KANDAGATLA (OWNER)
(517) 992-5101
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
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171473
PK
—
Enumeration date
09/13/2017
Last updated
11/14/2023
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