Provider Demographics
NPI:1053652669
Name:SITAR ENTERPRISE LLC
Entity Type:Organization
Organization Name:SITAR ENTERPRISE LLC
Other - Org Name:MANIR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAKTA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACY GRADUATE
Authorized Official - Phone:267-664-4330
Mailing Address - Street 1:1930 S BROAD ST
Mailing Address - Street 2:UNIT 15
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-2328
Mailing Address - Country:US
Mailing Address - Phone:215-661-1211
Mailing Address - Fax:215-661-1211
Practice Address - Street 1:1930 S BROAD ST
Practice Address - Street 2:UNIT 15
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-2328
Practice Address - Country:US
Practice Address - Phone:215-661-1211
Practice Address - Fax:215-661-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy