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NPI Code Detail

MEDICARE: SRI CAITANYA NITAI INC

MEDICARE: SRI CAITANYA NITAI 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
13336C0003XCommunity/Retail PharmacyAPPLIED & APPROVEDNV

General Provider Information

NPI Number : 1649608837
Entity Type Code : Organization
Provider Name (Legal Business Name) : SRI CAITANYA NITAI INC
Provider Business Mailing Address
First Line : 9801 WINTER PALACE DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8639
Country : US
Telephone Number : 702-301-6503
Fax Number :
Provider Business Practice Location Address
First Line : 1820 E LAKE MEAD BLVD
Second Line : UNIT: N
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7134
Country : US
Telephone Number : 702-301-6503
Fax Number : 702-387-8612
Authorized Official
Title or Position : PRESIDENT
Name : MR. BHARAT PATEL
Credential : PHARMACIST
Telephone Number : 702-301-6503
Provider Enumeration Date : 10/24/2013
Last Update Date : 10/24/2013

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Directions to “SRI CAITANYA NITAI INC ” Practice Location

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