Healthcare Provider Details

I. General information

NPI: 1447610019
Provider Name (Legal Business Name): SAI GEETA DRUG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2016
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3602 BRAINERD RD
CHATTANOOGA TN
37411-3601
US

IV. Provider business mailing address

3602 BRAINERD RD
CHATTANOOGA TN
37411-3601
US

V. Phone/Fax

Practice location:
  • Phone: 423-305-1858
  • Fax: 423-305-1571
Mailing address:
  • Phone: 423-305-1858
  • Fax: 423-305-1571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0000005754
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HEMANG PATEL
Title or Position: CHIEF EXECUTIVE MANAGER
Credential:
Phone: 201-724-7311