NPI Database
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Contact Information

PRASANNA LLC
1342 FAIR AVE
SAN ANTONIO, TX78223
 Phone: 210-534-5457
 Fax: 210-532-4747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PRASANNA LLC

NPI Number 1295809721
LBN Legal business name PRASANNA LLC
Authorized official PRAVALIKA KALI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2006
Last updated 12/18/2019 - About 6 years ago
Identifiers
TX License # 2619
TX Medicaid 013563401
TX Medicaid 091506801
Other 2090476 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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