Organization
LAKSHMI PHARMACY INC
Active
Other names
LAKESIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH PATEL RPH (OWNER PHCY MANAGER)
(586) 214-1333
Entity
Organization
Contact information
Practice address
15959 HALL RD, STE 101, MACOMB, MI 48044-5363
(586) 532-4141
(248) 832-0728
Mailing address
15959 HALL RD, STE 101, MACOMB, MI 48044-5363
(586) 532-4141
(248) 832-0728
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042536
PK
—
Enumeration date
12/01/2006
Last updated
12/08/2016
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