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Organization
SHRI HARI RX INC
Active
Organization
SHRI HARI RX INC
Active
Other names
Corona Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAPAN RAMESHCHANDRA PATEL PHARM D (CFO)
(513) 442-8078
Entity
Organization
Contact information
Practice address
2079 COMPTON AVE STE 105, CORONA, CA 92881-3312
(951) 365-3434
(951) 905-1609
Mailing address
15823 AVIATION CT, CHINO, CA 91708-7617
(951) 365-3434
(951) 905-1609
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY56129
STATE LICENSE
CA
Enumeration date
03/17/2020
Last updated
03/17/2020
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