Organization
JAI SHRI KRISHNA LLC
Active
Organization
JAI SHRI KRISHNA LLC
Active
Other names
pennmark pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTIM PATEL (PHARMACY MANAGER)
(215) 735-1200
Entity
Organization
Contact information
Practice address
1735 SOUTH ST FL 1, PHILADELPHIA, PA 19146-1528
(215) 735-1200
(215) 735-0455
Mailing address
1735 SOUTH ST FL 1, PHILADELPHIA, PA 19146-1528
(215) 735-1200
(215) 735-0455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482178
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175427
PK
—
Enumeration date
06/04/2011
Last updated
11/20/2018
Update your record
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