Provider Demographics
NPI:1568149219
Name:LAKSHMI PHARMACY ENTERPRISES LLC
Entity Type:Organization
Organization Name:LAKSHMI PHARMACY ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NANDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-312-0037
Mailing Address - Street 1:4600 INVESTMENT DR STE 100
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-6366
Mailing Address - Country:US
Mailing Address - Phone:248-312-0037
Mailing Address - Fax:248-792-2544
Practice Address - Street 1:4600 INVESTMENT DR STE 100
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-6366
Practice Address - Country:US
Practice Address - Phone:248-312-0037
Practice Address - Fax:248-792-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy