Provider Demographics
NPI:1831876549
Name:BIRESHPATI LLC
Entity type:Organization
Organization Name:BIRESHPATI LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RABI
Authorized Official - Middle Name:LAL
Authorized Official - Last Name:GHIMERAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:218-409-5509
Mailing Address - Street 1:6728 WILLOW BEND DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-7511
Mailing Address - Country:US
Mailing Address - Phone:513-877-0184
Mailing Address - Fax:513-877-0191
Practice Address - Street 1:6601 DIXIE HWY STE B
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-5495
Practice Address - Country:US
Practice Address - Phone:513-877-0184
Practice Address - Fax:513-877-0191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty