Provider Demographics
NPI:1639778806
Name:GANESHA RX CARE GROUP 3, LLC
Entity Type:Organization
Organization Name:GANESHA RX CARE GROUP 3, LLC
Other - Org Name:GEORGIA DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANANKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:A0
Authorized Official - Phone:718-316-5465
Mailing Address - Street 1:6330 PRIMROSE HILL CT STE 103
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4544
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6330 PRIMROSE HILL CT STE 103
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-4544
Practice Address - Country:US
Practice Address - Phone:678-395-7518
Practice Address - Fax:678-395-7568
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GANESHA RX CARE GROUP 3, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-20
Last Update Date:2022-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy