Index Park Pharmacy

LBN: Srisiri Pharma Inc
Index Park Pharmacy is an health care organization with primary practice located at 2255 Fort St Index Park Pharmacy, Lincoln Park MI 48146-2671. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Srisiri Pharma Inc can be contacted via phone (313) 357-7500, or through Atluri, Khajendranath via phone (248) 953-2331.

Contact Information

Primary practice address
2255 Fort St Index Park Pharmacy Lincoln Park MI 48146-2671
Phone: (313) 357-7500
Fax: (313) 347-8998
Website:
Map and Directions
Authorized official contact:
Name: Atluri, Khajendranath
Phone: (248) 953-2331

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010202 Michigan
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1912334343
LBN Legal business name Srisiri Pharma Inc
DBA Doing business as Index Park Pharmacy
Authorized official Atluri, Khajendranath
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2013
Last updated Sep 25th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912334343 NPPES
Michigan Other 2378405 NCPDP

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