Organization
SAHAJANAND SWAMI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHESH PATEL (MANAGER)
(704) 692-1434
Entity
Organization
Contact information
Practice address
2579 LAWRENCEVILLE HWY STE A, DECATUR, GA 30033-3206
(770) 723-9460
(770) 723-9461
Mailing address
2579 LAWRENCEVILLE HWY STE A, DECATUR, GA 30033-3206
(770) 723-9460
(770) 723-9461
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003194941A
—
GA
Enumeration date
04/28/2017
Last updated
07/21/2020
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