Healthcare Provider Details

I. General information

NPI: 1023749470
Provider Name (Legal Business Name): GURU HARI MEDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13394 LIMONITE AVE STE 120
EASTVALE CA
92880-7287
US

IV. Provider business mailing address

13394 LIMONITE AVE STE 120
EASTVALE CA
92880-7287
US

V. Phone/Fax

Practice location:
  • Phone: 951-444-6768
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RESHMA PATEL
Title or Position: OWNER
Credential:
Phone: 951-444-6768