| NPI | 1912334343 |
|---|---|
| Doing Business As | INDEX PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KHAJENDRANATH ATLURI Agent 248-953-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010202) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2019-09-25 |