Organization
SAHAJANAND HEALTHCARE LLC
Active
Other names
EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIRAT PATEL (OWNER)
(551) 358-4242
Entity
Organization
Contact information
Practice address
1960 RIVERSIDE PKWY STE 103, LAWRENCEVILLE, GA 30043-5945
(770) 864-5645
(770) 864-5650
Mailing address
1960 RIVERSIDE PKWY STE 103, LAWRENCEVILLE, GA 30043-5945
(770) 864-5645
(770) 864-5650
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010056
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151036A
—
GA
01
—
2142837
PK
—
Enumeration date
07/23/2014
Last updated
10/04/2022
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