Provider Demographics
NPI:1285945386
Name:SWASTIK RX LLC
Entity type:Organization
Organization Name:SWASTIK RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONALISA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PANSURIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:813-579-5344
Mailing Address - Street 1:2110 MANATEE AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1660
Mailing Address - Country:US
Mailing Address - Phone:813-579-5344
Mailing Address - Fax:
Practice Address - Street 1:2110 MANATEE AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1660
Practice Address - Country:US
Practice Address - Phone:813-579-5344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy