Provider Demographics
NPI:1447791603
Name:DIVYALAKSHMI LLC
Entity Type:Organization
Organization Name:DIVYALAKSHMI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:UNMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-351-1800
Mailing Address - Street 1:1444 HAMILTON ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-4232
Mailing Address - Country:US
Mailing Address - Phone:610-351-1800
Mailing Address - Fax:610-351-1814
Practice Address - Street 1:1444 HAMILTON ST
Practice Address - Street 2:SUITE 1
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-4232
Practice Address - Country:US
Practice Address - Phone:610-351-1800
Practice Address - Fax:610-351-1814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy