Pagoda Pharmacy

LBN: Pramukh Pharmacy Llc
Pagoda Pharmacy is an health care organization with primary practice located at 810 Oley St Ste G2 , Reading PA 19604-2546. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pramukh Pharmacy Llc can be contacted via phone (484) 577-4408, or through Patel, Pragnesh via phone (904) 673-0588.

Contact Information

Primary practice address
810 Oley St Ste G2 Reading PA 19604-2546
Fax: (484) 509-2919
Website:
Authorized official contact:
Name: Patel, Pragnesh

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP482677 Pennsylvania

Profile Details

NPI number 1609324086
LBN Legal business name Pramukh Pharmacy Llc
DBA Doing business as Pagoda Pharmacy
Authorized official Patel, Pragnesh
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2016
Last updated Jan 20th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609324086 NPPES
Other 2164159 PK

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