Jay Shree Meladi Maa, LLC
NPI #1215362389 in Fort Stockton, Texas
Provider Information
- NPI Number
- 1215362389
- Entity Type
- Organization
- Organization Name
- Jay Shree Meladi Maa, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 9, 2013
- Last Updated
- Jul 13, 2022
Practice Location
- Address
- 616 W DICKINSON BLVD
- City
- Fort Stockton
- State
- Texas
- ZIP Code
- 79735-4229
- Phone
- (432) 336-2200
Authorized Official
- Name
- SHASHWATKUMAR PATEL
- Title
- MANAGER
- Phone
- (832) 512-0974
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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