IndividualActive
Suresh Komirisetty
NPI 1003050113 · Pharmacist · Lansing, MI
Provider details
- NPI number
- 1003050113
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5302034766 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1705 W Mount Hope Ave
Lansing, MI 48910-2660
Phone: (517) 372-6700
Fax: (517) 372-0616
Approximate (ZIP-level) locationGet directions
Mailing address
1795 Nemoke Ct
Haslett, MI 48840-8679
Registry dates
- Enumerated
- 2009-04-21
- Last updated
- 2009-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.