Provider Demographics
NPI:1235693276
Name:SV LLC
Entity Type:Organization
Organization Name:SV LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARITHAKUMARI
Authorized Official - Middle Name:
Authorized Official - Last Name:KEESARI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:682-593-8400
Mailing Address - Street 1:967 KELLER PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3862
Mailing Address - Country:US
Mailing Address - Phone:682-593-8400
Mailing Address - Fax:
Practice Address - Street 1:967 KELLER PKWY STE C
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3862
Practice Address - Country:US
Practice Address - Phone:682-593-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy