Provider Demographics
NPI:1679800452
Name:WINDSOR PHARMA INC
Entity type:Organization
Organization Name:WINDSOR PHARMA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HIMAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARUCHURI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:215-945-1125
Mailing Address - Street 1:1508 HAINES RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19055-1802
Mailing Address - Country:US
Mailing Address - Phone:215-945-1125
Mailing Address - Fax:215-945-2818
Practice Address - Street 1:1508 HAINES RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19055-1802
Practice Address - Country:US
Practice Address - Phone:215-945-1125
Practice Address - Fax:215-945-2818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP412930L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102300789001Medicaid
PA3992991OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PA6178920001Medicare NSC