Organization
SHRI DIVYA DRUGS LLC
Active
Other names
Frio Drug Store, DILLEY DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATAKIRAN KUMAR KALI (PRESIDENT)
(972) 261-9694
Entity
Organization
Contact information
Practice address
223 S OAK ST, PEARSALL, TX 78061
(830) 267-2020
(830) 267-2019
Mailing address
223 S OAK ST, PEARSALL, TX 78061
(830) 267-2020
(830) 267-2019
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
18223
TX
3336C0003X
Community/Retail Pharmacy
Primary
31388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144679
—
TX
01
—
4545197
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/04/2007
Last updated
06/16/2018
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