<Unavail>
LBN: Jay Shree Ganesh Inc
<Unavail> is an health care organization with primary practice located at 10124 Auburn Park Dr , Fort Wayne IN 46825-2392. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jay Shree Ganesh Inc can be contacted via phone (260) 739-7160, or through Patel, Bharat via phone (260) 445-6741.
Contact Information
Primary practice address
10124 Auburn Park Dr
Fort Wayne IN 46825-2392
Phone: (260) 739-7160
Fax: (260) 739-7268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 60006305A | Indiana |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1265795082 |
|---|---|
| LBN Legal business name | Jay Shree Ganesh Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Patel, Bharat |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 18th, 2012 |
| Last updated | Aug 31st, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265795082 | NPPES |
| Other | 1563851 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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