Healthcare Provider Details

I. General information

NPI: 1386484103
Provider Name (Legal Business Name): VIHARSH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13362 POWAY RD
POWAY CA
92064-4626
US

IV. Provider business mailing address

13362 POWAY RD
POWAY CA
92064-4626
US

V. Phone/Fax

Practice location:
  • Phone: 858-955-0123
  • Fax: 858-955-0124
Mailing address:
  • Phone: 858-955-0123
  • Fax: 858-955-0124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ARCHANA ZALAVADIYA
Title or Position: MANAGING MEMBER
Credential:
Phone: 619-443-1013