Shivam Sagar Corporation
NPI #1083782882 in Fort Plain, New York
Provider Information
- NPI Number
- 1083782882
- Entity Type
- Organization
- Organization Name
- Shivam Sagar Corporation
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 30 CANAL ST
- City
- Fort Plain
- State
- New York
- ZIP Code
- 13339-1101
- Phone
- (518) 993-3003
Authorized Official
- Name
- DENA FERMAN
- Title
- THIRD PARTY PLAN COORDINATOR
- Phone
- (314) 993-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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