Provider Demographics
NPI:1982770632
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: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: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 1:1701 SOUTH BLVD E
Practice Address - Street 2:STE 105
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-6122
Practice Address - Country:US
Practice Address - Phone:248-852-9355
Practice Address - Fax:248-852-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
MI53010080343336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2046947OtherPK