Healthcare Provider Details
I. General information
NPI: 1740178706
Provider Name (Legal Business Name): RISHU ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 W 1ST ST STE 3A
BIRDSBORO PA
19508-2254
US
IV. Provider business mailing address
200 W 1ST ST STE 3A
BIRDSBORO PA
19508-2254
US
V. Phone/Fax
- Phone: 267-647-6337
- Fax:
- Phone: 610-672-3552
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JIGNESH
PATEL
Title or Position: CEO
Credential:
Phone: 551-998-5200