Healthcare Provider Details

I. General information

NPI: 1750246880
Provider Name (Legal Business Name): GANESH RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 S MAIN ST
COOPERSBURG PA
18036-1912
US

IV. Provider business mailing address

135 S MAIN ST
COOPERSBURG PA
18036-1912
US

V. Phone/Fax

Practice location:
  • Phone: 610-282-0173
  • Fax: 484-863-9093
Mailing address:
  • Phone: 610-282-0173
  • Fax: 484-863-9093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. SHAILESH H PATEL
Title or Position: PHARMACIST
Credential: RPH
Phone: 732-824-8101