Provider Demographics
NPI:1679909576
Name:AYUR HEALTH LLC
Entity type:Organization
Organization Name:AYUR HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:OMPHANIDHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:NADIMPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-426-2640
Mailing Address - Street 1:142 WALLACE AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2643
Mailing Address - Country:US
Mailing Address - Phone:484-593-4321
Mailing Address - Fax:484-593-4327
Practice Address - Street 1:142 WALLACE AVE STE 106
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2643
Practice Address - Country:US
Practice Address - Phone:484-593-4321
Practice Address - Fax:484-593-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4824223336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2142396OtherPK