Provider Demographics
NPI:1770095408
Name:SAI VARUNI PHARMACY LLC
Entity type:Organization
Organization Name:SAI VARUNI PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJASEKHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KANTAMNENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-424-0045
Mailing Address - Street 1:709 FRELINGHUYSEN AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07114-1304
Mailing Address - Country:US
Mailing Address - Phone:973-424-0045
Mailing Address - Fax:973-547-3306
Practice Address - Street 1:709 FRELINGHUYSEN AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07114-1304
Practice Address - Country:US
Practice Address - Phone:973-424-0045
Practice Address - Fax:973-547-3306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-03
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy