Provider Demographics
NPI:1346898244
Name:PAAS LLC
Entity Type:Organization
Organization Name:PAAS LLC
Other - Org Name:ALLSWELL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PANKAJ
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHRIVASTAVA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:646-623-1247
Mailing Address - Street 1:2805 LEAF SHADE DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-2522
Mailing Address - Country:US
Mailing Address - Phone:646-623-1247
Mailing Address - Fax:
Practice Address - Street 1:325 HOSPITAL DR STE 203
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5807
Practice Address - Country:US
Practice Address - Phone:410-553-4156
Practice Address - Fax:410-595-6960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy