Organization
SHRI SANTRAM CORPORATION
Active
Other names
Family 1 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAUSHAL PATEL (PRESIDENT)
(917) 667-6989
Entity
Organization
Contact information
Practice address
4005 VETERANS HWY, LEVITTOWN, PA 19056-3406
(215) 943-2221
(215) 943-2202
Mailing address
PO BOX 429, LEVITTOWN, PA 19058-0429
(215) 943-2221
(215) 943-2202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481882
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022443580001
—
PA
01
—
2118232
PK
—
Enumeration date
08/31/2008
Last updated
03/01/2017
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