Healthcare Provider Details

I. General information

NPI: 1427211929
Provider Name (Legal Business Name): SHREYA RX, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 12/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ORISKANY BLVD
YORKVILLE NY
13495-1330
US

IV. Provider business mailing address

200 ORISKANY BLVD
YORKVILLE NY
13495-1330
US

V. Phone/Fax

Practice location:
  • Phone: 315-768-3347
  • 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: BHUPEN PATEL
Title or Position: OWNER
Credential:
Phone: 315-768-3347