Provider Demographics
NPI:1669831012
Name:SHREEJI PHARMACY LLC
Entity Type:Organization
Organization Name:SHREEJI PHARMACY LLC
Other - Org Name:ROCKDALE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SACHINKUMAR
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:770-648-7868
Mailing Address - Street 1:405 SIGMAN RD NW STE B
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-3625
Mailing Address - Country:US
Mailing Address - Phone:770-648-7868
Mailing Address - Fax:770-648-7829
Practice Address - Street 1:405 SIGMAN RD NW STE B
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3625
Practice Address - Country:US
Practice Address - Phone:770-648-7868
Practice Address - Fax:770-648-7829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-14
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy