MEDICARE: DHARM NANDAN 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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1750926119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DHARM NANDAN LLC

Provider Business Mailing Address
First Line	:	107 AUGUST LN
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-6715
Country	:	US
Telephone Number	:	267-329-4900
Fax Number	:	267-329-4901

Provider Business Practice Location Address
First Line	:	3808 MORRELL AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1915
Country	:	US
Telephone Number	:	267-329-4900
Fax Number	:

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	PANKIL RAJANIKANT PATEL
Credential	:	PHARM.D
Telephone Number	:	267-329-4900

Provider Enumeration Date	:	11/08/2019
Last Update Date	:	11/08/2019

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Directions to “DHARM NANDAN LLC ” Practice Location

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