Provider Demographics
NPI:1871003103
Name:SAYANA MODI LLC
Entity Type:Organization
Organization Name:SAYANA MODI LLC
Other - Org Name:CROSSKEYS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:CHIRAG
Authorized Official - Middle Name:
Authorized Official - Last Name:MODI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:551-655-6034
Mailing Address - Street 1:232 SADDLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-7834
Mailing Address - Country:US
Mailing Address - Phone:551-655-6034
Mailing Address - Fax:
Practice Address - Street 1:468 HURFFVILLE CROSSKEYS RD STE 2
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2322
Practice Address - Country:US
Practice Address - Phone:551-655-6034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-30
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy