NPI Code Details Logo

NPI 1295686244

NPI 1295686244 : MANI & SONS LLC : MONROE, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295686244
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MANI & SONS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/05/2026
-----------------------------------------------------
    Last Update Date     |    02/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    19955 HIGHWAY 2 STE D1 
-----------------------------------------------------
    City                 |    MONROE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98272-2338
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    509-594-0678
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    20201 26TH DR SE 
-----------------------------------------------------
    City                 |    BOTHELL
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98012-7602
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    509-594-0678
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/ PHARMACIST
-----------------------------------------------------
    Name                 |    DR. SRIDHAR  BALASUBRAMANYAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    509-594-0678
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.