Organization
INDEX MEDS PHARMACY NO-2 LLC
Active
Other names
Index Meds Pharmacy No-2 LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUNITHA ATLURI (OWNER)
(248) 267-6534
Entity
Organization
Contact information
Practice address
1475 FORD AVE, WYANDOTTE, MI 48192-3825
(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
5301010674
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152548
PK
—
Enumeration date
06/17/2015
Last updated
06/17/2015
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