MEDICARE: SHRI HARI PHARMACY 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	333600000X	Pharmacy	PP412142L	PA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871595975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHRI HARI PHARMACY LLC

Provider Business Mailing Address
First Line	:	3114 CLARK AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109
Country	:	US
Telephone Number	:	216-651-5700
Fax Number	:	724-567-7185

Provider Business Practice Location Address
First Line	:	114 GRANT AVE
Second Line	:
City	:	VANDERGRIFT
State	:	PA
Zip	:	15690-1208
Country	:	US
Telephone Number	:	724-568-1221
Fax Number	:	724-567-7185

Authorized Official
Title or Position	:	CO- PRESIDENT
Name	:	MR. CHETEMKUMAR M PATEL
Credential	:
Telephone Number	:	216-456-5450

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	11/18/2025

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Directions to “SHRI HARI PHARMACY LLC ” Practice Location

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