Provider Demographics
NPI:1407142045
Name:ASTHA INC
Entity Type:Organization
Organization Name:ASTHA INC
Other - Org Name:RELIANT DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HIREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:517-394-7760
Mailing Address - Street 1:44830 STOCKTON DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2553
Mailing Address - Country:US
Mailing Address - Phone:312-330-3723
Mailing Address - Fax:517-394-7750
Practice Address - Street 1:6250 S CEDAR ST STE 2
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-5700
Practice Address - Country:US
Practice Address - Phone:517-394-7760
Practice Address - Fax:517-394-7750
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASTHA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301009607333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy