Organization
SHIVA SHAKTHI LLC
Active
Other names
ss pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIROOPAKSHA VELISHALA (AGENT)
(603) 703-4001
Entity
Organization
Contact information
Practice address
2625 TEXAS DR, IRVING, TX 75062-7016
(817) 632-7779
(817) 632-7780
Mailing address
2625 TEXAS DR, IRVING, TX 75062
(817) 632-7779
(817) 632-7780
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28374
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138349
PK
—
Enumeration date
12/20/2012
Last updated
09/19/2025
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