Organization
JAY SHREE MELADI MAA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHASHWATKUMAR PATEL (MANAGER)
(832) 512-0974
Entity
Organization
Contact information
Practice address
616 W DICKINSON BLVD, FORT STOCKTON, TX 79735-4229
(432) 336-2200
Mailing address
616 W DICKINSON BLVD, FORT STOCKTON, TX 79735-4229
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28771
TX
Other
Enumeration date
09/09/2013
Last updated
07/13/2022
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