Provider Demographics
NPI:1770250029
Name:SR PHARMACY
Entity type:Organization
Organization Name:SR PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SUNITABEN
Authorized Official - Middle Name:ALPESH
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:717-982-2683
Mailing Address - Street 1:146 ROBIN LN APT T6
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8249
Mailing Address - Country:US
Mailing Address - Phone:717-982-2683
Mailing Address - Fax:
Practice Address - Street 1:3831 WALNUT ST UNIT C
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-2533
Practice Address - Country:US
Practice Address - Phone:717-220-8874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy