MEDICARE: MANI & SONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1295686244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANI & SONS LLC

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

Provider Business Practice Location Address
First Line	:	19955 HIGHWAY 2 STE D1
Second Line	:
City	:	MONROE
State	:	WA
Zip	:	98272-2338
Country	:	US
Telephone Number	:	509-594-0678
Fax Number	:

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

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/24/2026

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Directions to “MANI & SONS LLC ” Practice Location

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