Organization · NPI-2

Central Pharmacy - Mlk LLC

Pharmacy, Community/Retail Pharmacy · Lansing, MI

NPI number1902275928
StatusActive
Last updated in NPPESNov 14, 2023

Details

NPI
1902275928
Entity type
Organization (NPI-2)
Legal business name
Central Pharmacy - Mlk LLC
Organization subpart
No
Enumeration date
Sep 21, 2015
Certification date
Nov 14, 2023
Last updated
Nov 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy5301010726MIYes
333600000X Pharmacy––

Other names

  • Central Pharmacy - Mlk (Doing Business As)

Practice location

3500 S Mlk Blvd
Lansing, MI 48910-4339

Phone 517-574-5015 · Fax 517-574-5362

Mailing address

3500 S Mlk Blvd
Lansing, MI 48910-4339

Phone 517-574-5362 · Fax 517-574-5362

Authorized official

Krishna Kandagatla
Owner
5179925101

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