Provider Demographics
NPI:1518382258
Name:SHRINATHJI RX INC
Entity Type:Organization
Organization Name:SHRINATHJI RX INC
Other - Org Name:LANSDALE RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ALPESH
Authorized Official - Middle Name:
Authorized Official - Last Name:VASANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-855-7500
Mailing Address - Street 1:1801 N BROAD ST
Mailing Address - Street 2:STE 14
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1141
Mailing Address - Country:US
Mailing Address - Phone:215-855-7500
Mailing Address - Fax:215-855-7575
Practice Address - Street 1:1801 N BROAD ST
Practice Address - Street 2:STE 14
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1141
Practice Address - Country:US
Practice Address - Phone:215-855-7500
Practice Address - Fax:215-855-7575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1209245040001Medicaid
PA1209245040001Medicaid