Provider Demographics
NPI:1205500691
Name:MAATAJI RX CORP
Entity type:Organization
Organization Name:MAATAJI RX CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:KIRANBEN
Authorized Official - Middle Name:NIRMAL
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-449-3668
Mailing Address - Street 1:201 NOBLE CT
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4237
Mailing Address - Country:US
Mailing Address - Phone:469-449-3668
Mailing Address - Fax:
Practice Address - Street 1:6533 PRESTON RD STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2691
Practice Address - Country:US
Practice Address - Phone:972-378-5920
Practice Address - Fax:972-378-5922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy