Healthcare Provider Details
I. General information
NPI: 1871778225
Provider Name (Legal Business Name): NARAYAN PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2008
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
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
- Phone: 813-971-8401
- Fax: 813-971-8708
- Phone: 813-971-8401
- Fax: 813-971-8708
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAJESH
PATEL
Title or Position: OWNER
Credential:
Phone: 813-971-8401