Provider Demographics
NPI:1861234122
Name:SHRINATHJEE LLC
Entity type:Organization
Organization Name:SHRINATHJEE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NIRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:BANJARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-979-5301
Mailing Address - Street 1:1825 TAMIAMI TRL UNIT B7
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-1056
Mailing Address - Country:US
Mailing Address - Phone:941-979-5301
Mailing Address - Fax:941-296-7800
Practice Address - Street 1:1825 TAMIAMI TRL UNIT B7
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-1056
Practice Address - Country:US
Practice Address - Phone:941-979-5301
Practice Address - Fax:941-296-7800
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHRINATHJEE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-08
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy