MEDICARE: SHREE RX CORP

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	:	1467000638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHREE RX CORP

Provider Business Mailing Address
First Line	:	5320 E MAIN ST STE-700
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2573
Country	:	US
Telephone Number	:	614-333-9857
Fax Number	:	614-333-9858

Provider Business Practice Location Address
First Line	:	5320 E MAIN ST STE-700
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2573
Country	:	US
Telephone Number	:	614-333-9857
Fax Number	:	614-333-9858

Authorized Official
Title or Position	:	OWNER
Name	:	DARSHNA PATEL
Credential	:
Telephone Number	:	614-333-9857

Provider Enumeration Date	:	08/29/2019
Last Update Date	:	08/12/2021

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Directions to “SHREE RX CORP ” Practice Location

Language	Start Address	Practice Location

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