Organization
SREE GANESHA INC
Active
Other names
Care Rx
Organization subpart
No
Provider details
NPI number
Authorized official
SRIDHAR RANGAMANI (PHARMACY MANAGER)
(740) 707-3624
Entity
Organization
Contact information
Practice address
3707 LAKE WORTH RD, PALM SPRINGS, FL 33461-4033
(740) 707-3624
Mailing address
3707 LAKE WORTH RD, PALM SPRINGS, FL 33461-4033
(740) 707-3624
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156108
PK
—
Enumeration date
01/05/2016
Last updated
01/05/2016
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