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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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