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Contact Information

SHIVSAI RX LLC
1808 S FRENCH AVE
SANFORD, FL32771
 Phone: 407-323-7922
 Fax: 407-323-7927
 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
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHIVSAI RX LLC

NPI Number 1699186338
LBN Legal business name SHIVSAI RX LLC
Authorized official VIJAY BHALALA - (OWNER AND MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2014
Last updated 09/20/2022 - About 4 years ago
Identifiers
FL Medicaid 013317100
FL Other PH28250 PHARMACY LICENSE
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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