Individual
LAKSHMI D NELLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS IN PHARMACY
Contact information
Practice address
24100 NOVI RD, NOVI, MI 48375-3247
(248) 349-6771
Mailing address
24598 VERDANT DR, FARMINGTON HILLS, MI 48335-2124
(248) 476-0192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034945
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302034945
PARMACIST LICENCE NUMBER
MI
Enumeration date
10/14/2011
Last updated
10/14/2011
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