Provider Demographics
NPI:1235968850
Name:HANSARAJ INC
Entity type:Organization
Organization Name:HANSARAJ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJPUT
Authorized Official - Suffix:
Authorized Official - Credentials:MBR
Authorized Official - Phone:941-889-7239
Mailing Address - Street 1:3231 TAMIAMI TRL STE G
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-8031
Mailing Address - Country:US
Mailing Address - Phone:941-889-7239
Mailing Address - Fax:941-889-7236
Practice Address - Street 1:3231 TAMIAMI TRL STE G
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8031
Practice Address - Country:US
Practice Address - Phone:941-889-7239
Practice Address - Fax:941-889-7236
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHARLOTTE PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy