Provider Demographics
NPI:1275001786
Name:VIJYALAXMI ENTERPRISE INC
Entity Type:Organization
Organization Name:VIJYALAXMI ENTERPRISE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SADHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KURANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-731-5222
Mailing Address - Street 1:5750 W VICKERY BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-7448
Mailing Address - Country:US
Mailing Address - Phone:817-731-5222
Mailing Address - Fax:817-731-5227
Practice Address - Street 1:5750 W VICKERY BLVD STE 110
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-7448
Practice Address - Country:US
Practice Address - Phone:817-731-5222
Practice Address - Fax:817-731-5227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX32320OtherTEXAS STATE BOARD OF PHARMACY