Provider Demographics
NPI:1801301478
Name:PHARMACY SERVICES GROUP OF AMERICA,INC
Entity type:Organization
Organization Name:PHARMACY SERVICES GROUP OF AMERICA,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEHRDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HARIRI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:407-383-3301
Mailing Address - Street 1:77 CYPRESS LN
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5809
Mailing Address - Country:US
Mailing Address - Phone:407-383-3301
Mailing Address - Fax:888-609-7228
Practice Address - Street 1:500 SEMORAN BLVD STE 2066
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5387
Practice Address - Country:US
Practice Address - Phone:407-383-3301
Practice Address - Fax:888-609-7228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)