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Organization
SHAMBHAVI INC
Active
Organization
SHAMBHAVI INC
Active
Other names
TREWORGY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRABHAKAR SAMALA (PRESIDENT)
(207) 949-3655
Entity
Organization
Contact information
Practice address
333 MAIN ST, CALAIS, ME 04619-1809
(207) 454-3300
(207) 454-2268
Mailing address
PO BOX 930, CALAIS, ME 04619-0930
(207) 454-3300
(207) 454-2268
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
50001428
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130893
PK
—
Enumeration date
01/30/2007
Last updated
12/10/2014
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