Healthcare Provider Details

I. General information

NPI: 1760129100
Provider Name (Legal Business Name): NARAYAN PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2022
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 W FLETCHER AVE STE 108
TAMPA FL
33612-3400
US

IV. Provider business mailing address

320 W FLETCHER AVE STE 108
TAMPA FL
33612-3400
US

V. Phone/Fax

Practice location:
  • Phone: 813-971-8401
  • Fax: 813-971-8708
Mailing address:
  • Phone: 813-971-8401
  • Fax: 813-971-8708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RAJESHKUMAR PATEL
Title or Position: OWNER
Credential:
Phone: 813-971-8401