# SHREE KESRINANDAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** athens pharmacy, ATHENS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205352473
- **Authorized official:** KETAN TRIVEDI (MEMBER)
- **Authorized official phone:** (678) 205-7038

## Contact information

- **Practice address:** 1086 BAXTER ST, ATHENS, GA 30606-6316
- **Practice address phone:** (706) 850-5553
- **Practice address fax:** (706) 850-7557
- **Mailing address:** 1086 BAXTER ST, ATHENS, GA 30606-6316
- **Mailing address phone:** (706) 850-5553
- **Mailing address fax:** (706) 850-7557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010406 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2017
- **Last updated:** 04/18/2018