Provider Demographics
NPI:1326119330
Name:HARS DRUGS INC
Entity Type:Organization
Organization Name:HARS DRUGS INC
Other - Org Name:FAMILY DRUG MART
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAUSHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAYAL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:321-631-0300
Mailing Address - Street 1:7135 N US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:PORT ST JOHN
Mailing Address - State:FL
Mailing Address - Zip Code:32927-5099
Mailing Address - Country:US
Mailing Address - Phone:321-631-0300
Mailing Address - Fax:321-631-2728
Practice Address - Street 1:7135 N US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:PORT ST JOHN
Practice Address - State:FL
Practice Address - Zip Code:32927-5099
Practice Address - Country:US
Practice Address - Phone:321-631-0300
Practice Address - Fax:321-631-2728
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARS DRUGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-13
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0003X, 3336C0004X
FLPH114923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2007679OtherPK
FL100581500Medicaid
FL101553201Medicaid
0142580001Medicare NSC