Organization
SHRI JAGANNATH DRUGS LLC
Active
Organization
SHRI JAGANNATH DRUGS LLC
Active
Other names
Ravens Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATAKIRAN KALI (DIRECTOR)
(214) 946-1700
Entity
Organization
Contact information
Practice address
820 N ZANG BLVD, STE 120, DALLAS, TX 75208-4233
(214) 946-1700
(214) 946-8300
Mailing address
820 N ZANG BLVD, STE 120, DALLAS, TX 75208-4233
(214) 946-1700
(214) 946-8300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145568
PK
—
Enumeration date
07/30/2006
Last updated
08/11/2015
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