Provider Demographics
NPI:1235915463
Name:MAHANT PHARMACY LLC
Entity Type:Organization
Organization Name:MAHANT PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARSHAV
Authorized Official - Middle Name:H
Authorized Official - Last Name:RAVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-308-2887
Mailing Address - Street 1:104 HICKORY CORNER RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2460
Mailing Address - Country:US
Mailing Address - Phone:609-308-2887
Mailing Address - Fax:609-308-2896
Practice Address - Street 1:104 HICKORY CORNER RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2460
Practice Address - Country:US
Practice Address - Phone:609-308-2887
Practice Address - Fax:609-308-2896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy