MEDICARE: SWASTIK RX LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1285945386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWASTIK RX LLC

Provider Business Mailing Address
First Line	:	2110 MANATEE AVE E
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34208-1660
Country	:	US
Telephone Number	:	813-579-5344
Fax Number	:

Provider Business Practice Location Address
First Line	:	2110 MANATEE AVE E
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34208-1660
Country	:	US
Telephone Number	:	813-579-5344
Fax Number	:

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	MRS. MONALISA J PANSURIA
Credential	:	PHARM D
Telephone Number	:	813-579-5344

Provider Enumeration Date	:	06/23/2010
Last Update Date	:	06/23/2010

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Directions to “SWASTIK RX LLC ” Practice Location

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