Healthcare Provider Details

I. General information

NPI: 1154435493
Provider Name (Legal Business Name): SHREE GANESH PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 10/08/2022
Certification Date: 10/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 PENN ST
READING PA
19602-1796
US

IV. Provider business mailing address

900 PENN ST
READING PA
19602-1717
US

V. Phone/Fax

Practice location:
  • Phone: 610-374-1444
  • Fax: 610-375-6362
Mailing address:
  • Phone: 610-374-1444
  • Fax: 610-375-6362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AARTI JANI
Title or Position: PHARMACIST IN CHARGE / OWNER
Credential:
Phone: 610-374-1444