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General NPI Number Information
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NPI Number | 1538237334
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Entity Type | Organization
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Legal Business Name | LAKSHMI PHARMACY INC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 15959 HALL RD STE 101
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City | MACOMB
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State | MI
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Zip | 48044-5363
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Country | US
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Telephone | 586-532-4141
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Fax | 248-832-0728
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Provider Business Mailing Address
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Address Line | 15959 HALL RD STE 101
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City | MACOMB
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State | MI
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Zip | 48044-5363
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Country | US
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Telephone | 586-532-4141
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Fax | 248-832-0728
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Authorized Official
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Title or Position | OWNER PHCY MANAGER
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Name | JIGNESH PATEL
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Credential | RPH
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Telephone | 586-214-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301008513
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License Number State | MI
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