Organization · NPI-2
Central Pharmacy - Mlk LLC
Pharmacy, Long Term Care Pharmacy · Lansing, MI
NPI number1750140661
StatusActive
Last updated in NPPESMar 21, 2024
Details
- NPI
- 1750140661
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Pharmacy - Mlk LLC
- Organization subpart
- No
- Enumeration date
- Mar 14, 2024
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Practice location
3500 S Mlk BlvdLansing, MI 48910-4339
Phone 517-574-5015
Mailing address
3500 S Mlk BlvdLansing, MI 48910-4339
Authorized official
Krishna Kandagatla
Owner
5175745015
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