Provider Demographics
NPI:1598066219
Name:LAKSHMI PHARMACY ENTERPRISES LLC
Entity Type:Organization
Organization Name:LAKSHMI PHARMACY ENTERPRISES LLC
Other - Org Name:HEALTH HERO PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PARTHA
Authorized Official - Middle Name:SHANKAR
Authorized Official - Last Name:NANDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-202-0600
Mailing Address - Street 1:3514 PINE ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-1954
Mailing Address - Country:US
Mailing Address - Phone:586-202-0600
Mailing Address - Fax:
Practice Address - Street 1:6700 N ROCHESTER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-4362
Practice Address - Country:US
Practice Address - Phone:248-601-1178
Practice Address - Fax:248-453-5581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-11
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301009450183500000X, 3336C0003X
MI5301009453183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty