Provider Demographics
NPI:1750854022
Name:SHRI DURGA DRUGS LLC
Entity Type:Organization
Organization Name:SHRI DURGA DRUGS LLC
Other - Org Name:DEVINE'S CRAWFORD RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GOKUL
Authorized Official - Middle Name:
Authorized Official - Last Name:NUKALA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:830-455-5071
Mailing Address - Street 1:200 S TEEL DR
Mailing Address - Street 2:
Mailing Address - City:DEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:78016-3210
Mailing Address - Country:US
Mailing Address - Phone:830-455-5071
Mailing Address - Fax:830-455-5073
Practice Address - Street 1:200 S TEEL DR
Practice Address - Street 2:
Practice Address - City:DEVINE
Practice Address - State:TX
Practice Address - Zip Code:78016-3210
Practice Address - Country:US
Practice Address - Phone:830-455-5071
Practice Address - Fax:830-455-5073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy