Healthcare Provider Details

I. General information

NPI: 1760387914
Provider Name (Legal Business Name): MAHANTJI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 BETHLEHEM PIKE STE 103
COLMAR PA
18915-9405
US

IV. Provider business mailing address

2333 WELSH RD STE C6A #103
LANSDALE PA
19446-6818
US

V. Phone/Fax

Practice location:
  • Phone: 267-956-8400
  • Fax: 267-956-9956
Mailing address:
  • Phone: 267-956-8400
  • Fax: 267-956-9956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: DARSHITA AMIN
Title or Position: OWNER
Credential:
Phone: 267-956-8400