Provider Demographics
NPI:1851638597
Name:JAI HANUMANJI LLC
Entity Type:Organization
Organization Name:JAI HANUMANJI LLC
Other - Org Name:HAINESCITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DESIA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:407-729-9127
Mailing Address - Street 1:36186 US HWY 27
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33845
Mailing Address - Country:US
Mailing Address - Phone:407-729-9157
Mailing Address - Fax:407-737-6636
Practice Address - Street 1:36186 US HWY 27
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33845
Practice Address - Country:US
Practice Address - Phone:407-729-9157
Practice Address - Fax:407-737-6636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy