Provider Demographics
NPI: | 1033739024 |
---|---|
Name: | MARUTI SQUARE INC. |
Entity Type: | Organization |
Organization Name: | MARUTI SQUARE INC. |
Other - Org Name: | CAREPLUSRX PHARMACY |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PIC |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DIPAN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PATEL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 843-799-1211 |
Mailing Address - Street 1: | 822 PAMPLICO HWY |
Mailing Address - Street 2: | |
Mailing Address - City: | FLORENCE |
Mailing Address - State: | SC |
Mailing Address - Zip Code: | 29505-6018 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 843-799-1211 |
Mailing Address - Fax: | 843-799-1217 |
Practice Address - Street 1: | 822 PAMPLICO HWY |
Practice Address - Street 2: | |
Practice Address - City: | FLORENCE |
Practice Address - State: | SC |
Practice Address - Zip Code: | 29505-6018 |
Practice Address - Country: | US |
Practice Address - Phone: | 843-799-1211 |
Practice Address - Fax: | 843-799-1217 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-04-20 |
Last Update Date: | 2020-09-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3336C0003X | Suppliers | Pharmacy | Community/Retail Pharmacy |
No | 333600000X | Suppliers | Pharmacy | |
No | 3336C0004X | Suppliers | Pharmacy | Compounding Pharmacy |