National Provider Identifier Database

FOWLERVILLE RX LLC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

FOWLERVILLE RX LLC
119 E GRAND RIVER AVE
FOWLERVILLE, MI48836
Phone: 517-223-9832
Fax: 517-223-7267
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for FOWLERVILLE RX LLC

NPI Number 1326057308
Legal business name
LBN
FOWLERVILLE RX LLC
Authorized official KRISHNA KANDAGATLA - (MEMBER)
Entity Organization
Organization subpart No
Enumeration date 08/07/2006
Last updated 11/14/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 5301004232
  • MI Medicaid: 2339100

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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