Provider Demographics
NPI:1427354190
Name:OMSHREE CORPORATION
Entity type:Organization
Organization Name:OMSHREE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:TEJAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHETH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:302-735-1515
Mailing Address - Street 1:207 SAINT JONES AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-5276
Mailing Address - Country:US
Mailing Address - Phone:302-856-2828
Mailing Address - Fax:866-388-5887
Practice Address - Street 1:432 E MARKET ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2266
Practice Address - Country:US
Practice Address - Phone:302-856-2828
Practice Address - Fax:866-388-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE5870980002Medicare NSC