Organization
SRI SAI SANVI INTEGRATIVE PHARMACY SERVICES LLC
Active
Organization
SRI SAI SANVI INTEGRATIVE PHARMACY SERVICES LLC
Active
Other names
Care 1st Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NAGARAJU TUMMALA (PHARMACY MANAGER/ OWNER / PIC/AO)
(904) 207-0355
Entity
Organization
Contact information
Practice address
1101 BLANDING BLVD STE 122, ORANGE PARK, FL 32065-6751
(904) 644-8038
(904) 644-8671
Mailing address
3515 LAUREL MILL DR, ORANGE PARK, FL 32065-5271
(904) 644-8038
(904) 644-8671
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29483
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016742100
—
FL
01
—
2157981
PK
—
Enumeration date
02/06/2016
Last updated
02/16/2017
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