Provider Demographics
NPI:1972865921
Name:KASHIBEN SAY LLC
Entity Type:Organization
Organization Name:KASHIBEN SAY LLC
Other - Org Name:DUNNELLON DISCOUNT DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TAPAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-489-4960
Mailing Address - Street 1:11150 N WILLIAMS ST
Mailing Address - Street 2:UNIT 101-B
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34432-8363
Mailing Address - Country:US
Mailing Address - Phone:352-489-4960
Mailing Address - Fax:352-489-4962
Practice Address - Street 1:11150 N WILLIAMS ST
Practice Address - Street 2:UNIT 101-B
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34432-8363
Practice Address - Country:US
Practice Address - Phone:352-489-4960
Practice Address - Fax:352-489-4962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-14
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL007631400Medicaid
7361050001Medicare NSC