Organization
SHRI SAIRAM DRUGS LLC
Active
Organization
SHRI SAIRAM DRUGS LLC
Active
Other names
Madison Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATAKIRAN KUMAR KALI (PRESIDENT)
(972) 261-9694
Entity
Organization
Contact information
Practice address
395 W MADISON ST, STARKE, FL 32091
(904) 964-7774
(904) 964-7807
Mailing address
395 W MADISON ST, STARKE, FL 32091
(904) 964-7774
(904) 964-7807
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PH19105
FL
3336C0003X
Community/Retail Pharmacy
Primary
PS31035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026030400
—
FL
Enumeration date
01/29/2007
Last updated
03/15/2018
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