Organization Name: | RISSAN INC |
NPI Number: | 1710239249 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TEJAS GANDHI (VP) |
Mailing Address: | 880 N Main St Bushnell |
State: | FL US |
Postal Code: | 335135011 |
Phone Number: | 3527938000 |
Fax Number: | 3527938007 |
NPI Enumeration Date: | 10/08/2012 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |