Provider Demographics
NPI:1023674504
Name:EESHPAAL LLC
Entity type:Organization
Organization Name:EESHPAAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHAVESH
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:908-995-4102
Mailing Address - Street 1:46 BRIDGE ST PO BOX 602
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08848
Mailing Address - Country:US
Mailing Address - Phone:908-995-4102
Mailing Address - Fax:908-995-9486
Practice Address - Street 1:46 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:08848-1224
Practice Address - Country:US
Practice Address - Phone:908-995-4102
Practice Address - Fax:908-995-9486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-10
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy