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
—
—
3336S0011X
Specialty Pharmacy
—
—
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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