Organization
SRAS LLC
Active
Other names
Staywell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY SHESHADRI (OWNER)
(201) 885-9509
Entity
Organization
Contact information
Practice address
7596 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(703) 743-1365
(571) 295-5665
Mailing address
7596 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(703) 743-1365
(571) 295-5665
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004825
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175622
PK
—
Enumeration date
01/24/2018
Last updated
09/19/2025
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