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Organization
SAI RX MART, LLC
Active
Organization
SAI RX MART, LLC
Active
Other names
pamidaa RX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIVA SRIKANTH JONNALGADA (MANAGER)
(732) 494-0458
Entity
Organization
Contact information
Practice address
113 W 3RD ST, BEARDSTOWN, IL 62618-1142
(217) 323-4422
Mailing address
113 W 3RD ST, BEARDSTOWN, IL 62618-1142
(217) 323-4422
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
05/21/2014
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