Organization
RAYNA LLC
Active
Other names
Sellersville Pharmacy at Penn Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH PATEL (OWNER)
(551) 998-5200
Entity
Organization
Contact information
Practice address
807 LAWN AVE, ROOM 104, SELLERSVILLE, PA 18960-1549
(267) 354-1833
(267) 354-1915
Mailing address
807 LAWN AVE, ROOM 104, SELLERSVILLE, PA 18960-1549
(267) 354-1833
(267) 354-1915
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PP482336
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103613572
—
PA
01
—
2137297
PK
—
Enumeration date
09/02/2012
Last updated
04/15/2020
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