Provider Demographics
NPI:1750926119
Name:DHARM NANDAN LLC
Entity type:Organization
Organization Name:DHARM NANDAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PANKIL
Authorized Official - Middle Name:RAJANIKANT
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:267-329-4900
Mailing Address - Street 1:107 AUGUST LN
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-6715
Mailing Address - Country:US
Mailing Address - Phone:267-329-4900
Mailing Address - Fax:267-329-4901
Practice Address - Street 1:3808 MORRELL AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1915
Practice Address - Country:US
Practice Address - Phone:267-329-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy