Organization
GIRIRAJ LLC
Active
Organization
GIRIRAJ LLC
Active
Other names
Lakewales Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GOPIKA TRIVEDI (OWNER)
(863) 676-0400
Entity
Organization
Contact information
Practice address
1322 STATE ROAD 60 E, LAKE WALES, FL 33853-4322
(863) 676-0400
(863) 676-0445
Mailing address
1322 STAE RD 60 E, LAKEWALES, FL 33853
(863) 676-0400
(863) 676-0445
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137946
PK
—
Enumeration date
11/20/2012
Last updated
02/21/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up