Organization
PRAMUKH PHARMACY LLC
Active
Other names
Pagoda Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRAGNESH PATEL (PRESIDENT)
(904) 673-0588
Entity
Organization
Contact information
Practice address
810 OLEY ST STE G2, READING, PA 19604-2546
(484) 577-4408
(484) 509-2919
Mailing address
1220 CENTRE AVE, READING, PA 19601-1458
(610) 236-0911
(610) 236-0993
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482677
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164159
PK
—
Enumeration date
09/14/2016
Last updated
01/20/2017
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