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Provider Information for 1700154549


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SHRI KRISHNA INC

Other Names:  
Doing Business As: 
FAMILY CARE PHARMACY

Organization Subpart: NO

NPI: 1700154549
Last Updated: 2022-03-11
Certification Date: 2022-03-11

Details

NameValue
NPI1700154549
Enumeration Date2011-12-07
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Dr. HITENDRA CHOKSHI
Title: DIRECTOR OF PHARMACY
Phone: 7024572100
Mailing Address 5625 S RAINBOW BLVD
STE F
LAS VEGAS, NV 89118-1854
United States

Phone: 702-457-2100 | Fax:702-457-2122
 
Primary Practice Address 5625 S RAINBOW BLVD
STE F
LAS VEGAS, NV 89118-1854
United States

Phone: 702-457-2100 | Fax:702-457-2122
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNV1700154549
Other (non-Medicare)NVPTAN 7418570001PTAN 7418570001
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyNV02805