Organization
THIRAJ LLC
Active
Other names
SELLERSVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH PATEL (OWNER)
(551) 998-5200
Entity
Organization
Contact information
Practice address
218 S MAIN ST, SELLERSVILLE, PA 18960-2529
(215) 257-9077
(215) 453-0633
Mailing address
218 S MAIN ST, SELLERSVILLE, PA 18960-2529
(215) 257-9077
(215) 453-0633
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP414107L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103609542
—
PA
01
—
2086660
PK
—
Enumeration date
07/30/2006
Last updated
07/31/2020
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