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Organization

SANJIVANI INC.

Active
Other names
THE APOTHECARY SHOPPE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PARIKSHIT S PATEL RPH. (CHIEF PHARMACIST OWNER)
(770) 459-9499
Entity
Organization

Contact information

Practice address
712 DALLAS HWY, VILLA RICA, GA 30180-1203
(770) 459-9499
(770) 459-9803
Mailing address
712 DALLAS HWY, VILLA RICA, GA 30180-1203
(770) 459-9499
(770) 459-9803

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
008264
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00806803
GA
Enumeration date
05/27/2006
Last updated
07/18/2013
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