Organization
SHREE SWAMINARAYAN LLC
Active
Other names
My Town's Prime Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIJESHKUMAR PATEL (OWNER)
(812) 722-9025
Entity
Organization
Contact information
Practice address
1050 N GARDNER ST, SCOTTSBURG, IN 47170
(917) 930-5427
Mailing address
1050 N GARDNER ST, SCOTTSBURG, IN 47170-7752
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100910200
—
KY
Enumeration date
10/25/2022
Last updated
08/24/2023
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