Organization
OM SAIDATTA INC
Active
Other names
Regional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUPESH SHAH (VICE PRESIDENT)
(610) 696-2020
Entity
Organization
Contact information
Practice address
510 E GAY ST UNIT 3, WEST CHESTER, PA 19380-2731
(610) 696-2020
(610) 696-2121
Mailing address
510 E GAY ST, UNIT # 3, WEST CHESTER, PA 19380-2731
(610) 696-2020
(610) 696-2121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482613
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157363
PK
—
Enumeration date
01/02/2016
Last updated
02/12/2016
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