MEDICARE: LOTUS PHARMA INC.

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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1336536218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOTUS PHARMA INC.

Provider Business Mailing Address
First Line	:	1205 AVONDALE HASLET RD STE 200
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-3580
Country	:	US
Telephone Number	:	817-945-2608
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 AVONDALE HASLET RD STE 200
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-3580
Country	:	US
Telephone Number	:	817-945-2608
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MR. HIREN RAMDUTT RAVAL
Credential	:	R.PH.
Telephone Number	:	817-945-2608

Provider Enumeration Date	:	04/18/2015
Last Update Date	:	02/14/2026

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Directions to “LOTUS PHARMA INC. ” Practice Location

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