MEDICARE: LAVAN KUMAR ODAPALLY RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302036805	MI

General Provider Information

NPI Number	:	1366673287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAVAN KUMAR ODAPALLY RPH

Provider Business Mailing Address
First Line	:	5675 COPPER CREEK DR
Second Line	:
City	:	HASLETT
State	:	MI
Zip	:	48840-8726
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 E CHICAGO ST STE 105
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-2086
Country	:	US
Telephone Number	:	517-924-1400
Fax Number	:	517-924-1401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	04/15/2026

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Directions to “ LAVAN KUMAR ODAPALLY RPH” Practice Location

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