Provider Demographics
NPI:1073149514
Name:SHRI HARI RX INC
Entity Type:Organization
Organization Name:SHRI HARI RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TAPAN
Authorized Official - Middle Name:RAMESHCHANDRA
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:513-442-8078
Mailing Address - Street 1:15823 AVIATION CT
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91708-7617
Mailing Address - Country:US
Mailing Address - Phone:951-365-3434
Mailing Address - Fax:951-905-1609
Practice Address - Street 1:2079 COMPTON AVE STE 105
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-3312
Practice Address - Country:US
Practice Address - Phone:951-365-3434
Practice Address - Fax:951-905-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY56129OtherSTATE LICENSE