# OM SAI RX LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tega Cay Family Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548374242
- **Authorized official:** PADMAVATHI DITTAKAVI (PRESIDENT)
- **Authorized official phone:** (803) 547-6100

## Contact information

- **Practice address:** 1741 GOLD HILL RD, SUITE 106, FORT MILL, SC 29708
- **Practice address phone:** (803) 547-6100
- **Practice address fax:** (803) 547-7720
- **Mailing address:** 1741 GOLD HILL RD, SUITE 106, FORT MILL, SC 29708
- **Mailing address phone:** (803) 547-6100
- **Mailing address fax:** (803) 547-7720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 05/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 797985 | — | SC |