Organization
KRVF LLC
Active
Other names
Shenandoah Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KUNAL G PATEL RPH (RX MANAGER)
(570) 859-1013
Entity
Organization
Contact information
Practice address
33 N MAIN ST, SHENANDOAH, PA 17976-1778
(570) 859-1013
(570) 859-1012
Mailing address
33 N MAIN ST, SHENANDOAH, PA 17976-1778
(570) 859-1013
(570) 859-1012
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
02/11/2021
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