Provider Demographics
NPI:1508222043
Name:SHREE NAVDURGA LLC
Entity Type:Organization
Organization Name:SHREE NAVDURGA LLC
Other - Org Name:RAMSRX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-737-8484
Mailing Address - Street 1:801 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-2028
Mailing Address - Country:US
Mailing Address - Phone:267-737-8484
Mailing Address - Fax:267-737-8664
Practice Address - Street 1:801 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-2028
Practice Address - Country:US
Practice Address - Phone:267-737-8484
Practice Address - Fax:267-737-8664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4826263336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy