Provider Demographics
NPI:1629457734
Name:MEHER HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:MEHER HEALTH SERVICES LLC
Other - Org Name:SUSSEX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PERCY
Authorized Official - Middle Name:
Authorized Official - Last Name:DHAMODIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-947-0333
Mailing Address - Street 1:32362 LONG NECK RD UNIT 5
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-9062
Mailing Address - Country:US
Mailing Address - Phone:302-947-0333
Mailing Address - Fax:302-947-0555
Practice Address - Street 1:32362 LONG NECK RD UNIT 5
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-9062
Practice Address - Country:US
Practice Address - Phone:302-947-0333
Practice Address - Fax:302-947-0555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA3-00009853336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2152125OtherPK