Provider Demographics
NPI:1962232587
Name:BABAJI LLC
Entity type:Organization
Organization Name:BABAJI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-435-9400
Mailing Address - Street 1:2600 REIDVILLE RD STE 8
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-3535
Mailing Address - Country:US
Mailing Address - Phone:864-435-9400
Mailing Address - Fax:864-435-9409
Practice Address - Street 1:2600 REIDVILLE RD STE 8
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-3535
Practice Address - Country:US
Practice Address - Phone:864-435-9400
Practice Address - Fax:864-435-9409
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BABAJI LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy