Provider Demographics
NPI:1972804607
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:S
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 1:4600 INVESTMENT DR
Practice Address - Street 2:SUITE 100
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-6365
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:2010-11-11
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301009453183500000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty