# SHAMBHAVI INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TREWORGY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013053628
- **Authorized official:** PRABHAKAR SAMALA (PRESIDENT)
- **Authorized official phone:** (207) 949-3655

## Contact information

- **Practice address:** 333 MAIN ST, CALAIS, ME 04619-1809
- **Practice address phone:** (207) 454-3300
- **Practice address fax:** (207) 454-2268
- **Mailing address:** PO BOX 930, CALAIS, ME 04619-0930
- **Mailing address phone:** (207) 454-3300
- **Mailing address fax:** (207) 454-2268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 50001428 | ME | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 12/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2130893 | PK | — |