Provider Demographics
NPI:1447073135
Name:MAHANT RX INC
Entity type:Organization
Organization Name:MAHANT RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:URMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-571-9861
Mailing Address - Street 1:136 S MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-3424
Mailing Address - Country:US
Mailing Address - Phone:561-571-9861
Mailing Address - Fax:561-571-9105
Practice Address - Street 1:136 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-3424
Practice Address - Country:US
Practice Address - Phone:561-571-9861
Practice Address - Fax:561-571-9105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy