Provider Demographics
NPI:1881233146
Name:SANTRAM HEALTH LLC
Entity Type:Organization
Organization Name:SANTRAM HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEENA
Authorized Official - Middle Name:MEHUL
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-421-3032
Mailing Address - Street 1:38 CRANE CT
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:DE
Mailing Address - Zip Code:19962-2823
Mailing Address - Country:US
Mailing Address - Phone:908-421-3032
Mailing Address - Fax:
Practice Address - Street 1:4598 S DUPONT HWY
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-1380
Practice Address - Country:US
Practice Address - Phone:302-535-8604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy