Provider Demographics
NPI:1710451034
Name:BRAHMANI HEALTH CORP
Entity Type:Organization
Organization Name:BRAHMANI HEALTH CORP
Other - Org Name:BERRY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-367-9244
Mailing Address - Street 1:2215 W BERRY ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-2804
Mailing Address - Country:US
Mailing Address - Phone:817-367-9244
Mailing Address - Fax:817-367-9242
Practice Address - Street 1:2215 W BERRY ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-2804
Practice Address - Country:US
Practice Address - Phone:817-367-9244
Practice Address - Fax:817-367-9242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-20
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy