Organization
MUKTA LLC
Active
Other names
BESTRX Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH B PATEL RPH (PIC)
(864) 210-1811
Entity
Organization
Contact information
Practice address
1103 N MAIN ST STE E, FOUNTAIN INN, SC 29644-1336
(864) 210-1811
(864) 210-1810
Mailing address
400 ABBY CIR, GREENVILLE, SC 29607-6429
(864) 991-7972
(864) 210-1810
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17200
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717200
—
SC
Enumeration date
04/26/2017
Last updated
03/10/2022
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