Organization
KHODIYAR HEALTH LLC
Active
Other names
Stop-N-Go Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESHBHAI PATEL (OWNER)
(423) 505-7584
Entity
Organization
Contact information
Practice address
3984 RINGGOLD RD, EAST RIDGE, TN 37412-1659
(423) 505-7584
(423) 629-0534
Mailing address
3984 RINGGOLD RD, EAST RIDGE, TN 37412-1659
(423) 505-7584
(423) 629-0534
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5049
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4445210
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/21/2012
Last updated
08/21/2012
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