Provider Demographics
NPI:1992369466
Name:SAREEN PHARMACY INC.
Entity Type:Organization
Organization Name:SAREEN PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MANPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:ATWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-883-4911
Mailing Address - Street 1:2600 MITCHELL RD STE G
Mailing Address - Street 2:
Mailing Address - City:CERES
Mailing Address - State:CA
Mailing Address - Zip Code:95307-9466
Mailing Address - Country:US
Mailing Address - Phone:209-883-4911
Mailing Address - Fax:209-883-0502
Practice Address - Street 1:2431 3RD ST.
Practice Address - Street 2:SUITE A
Practice Address - City:HUGHSON
Practice Address - State:CA
Practice Address - Zip Code:95326
Practice Address - Country:US
Practice Address - Phone:209-883-4911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAREEN PHARMACY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy