Healthcare Provider Details

I. General information

NPI: 1245943141
Provider Name (Legal Business Name): RAMA SATYA PHARMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7631 212TH ST SW STE 100
EDMONDS WA
98026-7565
US

IV. Provider business mailing address

6743 WATERTON CIR
MUKILTEO WA
98275-4860
US

V. Phone/Fax

Practice location:
  • Phone: 425-977-4880
  • Fax: 425-977-4881
Mailing address:
  • Phone: 425-773-8792
  • Fax: 425-977-4881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JAI ARUMILLI
Title or Position: OWNER
Credential:
Phone: 425-773-8792