Provider Demographics
NPI:1073212056
Name:SHRI AARNA RX LLC
Entity Type:Organization
Organization Name:SHRI AARNA RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DHVANI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-444-4666
Mailing Address - Street 1:3134 E HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-4528
Mailing Address - Country:US
Mailing Address - Phone:813-444-4666
Mailing Address - Fax:813-444-4677
Practice Address - Street 1:3134 E HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-4528
Practice Address - Country:US
Practice Address - Phone:813-444-4666
Practice Address - Fax:813-444-4677
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHRI AARNA RX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-28
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022624400Medicaid