Organization
SRI GANESH PHARMACY OF HYNDMAN INC
Active
Organization
SRI GANESH PHARMACY OF HYNDMAN INC
Active
Other names
Potomac Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEJAS SHETH (VICE PRESIDENT)
(814) 842-3201
Entity
Organization
Contact information
Practice address
138 WASHINGTON ST, HYNDMAN, PA 15545
(814) 842-3201
(814) 842-3711
Mailing address
PO BOX 694, 138 WASHINGTON ST, HYNDMAN, PA 15545
(814) 842-3201
(814) 842-3711
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP411775L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002202101
—
MD
05
—
1007630390003
—
PA
Enumeration date
11/09/2006
Last updated
02/20/2015
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