Healthcare Provider Details

I. General information

NPI: 1447656616
Provider Name (Legal Business Name): SAHAJANAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2014
Last Update Date: 05/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 THOMAS JOHNSON DR STE 3
FREDERICK MD
21702-4879
US

IV. Provider business mailing address

190 THOMAS JOHNSON DR STE 3
FREDERICK MD
21702-4879
US

V. Phone/Fax

Practice location:
  • Phone: 240-422-8433
  • Fax: 301-662-0001
Mailing address:
  • Phone: 240-422-8433
  • Fax: 301-662-0001

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 Code333600000X
TaxonomyPharmacy
License NumberP07455
License Number StateMD

VIII. Authorized Official

Name: AMBRISH PATEL
Title or Position: OWNER
Credential: PHARMD
Phone: 240-422-8433