Organization
OM SAIBABA INC
Active
Other names
Regional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
UMAMAHESWARA DONEPUDI (PRESIDENT)
(717) 517-8109
Entity
Organization
Contact information
Practice address
250 COLLEGE AVE, FIRST FLOOR, LANCASTER, PA 17603-3363
(717) 517-8109
(717) 517-8571
Mailing address
250 COLLEGE AVE, FIRST FLOOR, LANCASTER, PA 17603-3363
(717) 517-8109
(717) 517-8571
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482553
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103011557-0001
—
PA
01
—
2151590
PK
—
Enumeration date
04/21/2015
Last updated
08/04/2015
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