Organization
SHRI AARNA INC
Active
Other names
Vistara Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THITA BORSANIA (PHARMACIST IN CHARGE)
(843) 713-1575
Entity
Organization
Contact information
Practice address
817 S CASHUA DR STE C, FLORENCE, SC 29501-6398
(843) 713-1575
(877) 839-0075
Mailing address
450 STERLING DR, FLORENCE, SC 29501-7566
(843) 713-1575
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17140
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168592
PK
—
Enumeration date
03/12/2017
Last updated
06/29/2021
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