Provider Demographics
NPI:1023673746
Name:NIR-MAL VENTURES, INC
Entity type:Organization
Organization Name:NIR-MAL VENTURES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIRMITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-648-6264
Mailing Address - Street 1:2020 EASTSIDE DR STE 206
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-1955
Mailing Address - Country:US
Mailing Address - Phone:470-339-7262
Mailing Address - Fax:770-637-8120
Practice Address - Street 1:2020 EASTSIDE DR STE 206
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-1955
Practice Address - Country:US
Practice Address - Phone:470-339-7262
Practice Address - Fax:770-637-8120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy