Srisai Rx Mart LLC
NPI #1861811549 in Le Roy, Illinois
Provider Information
- NPI Number
- 1861811549
- Entity Type
- Organization
- Organization Name
- Srisai Rx Mart LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Apr 10, 2014
- Last Updated
- Apr 10, 2014
Practice Location
Authorized Official
- Name
- SIVA JONNALGADA
- Title
- MANAGER
- Phone
- (732) 494-0458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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