Provider Demographics
NPI:1265259956
Name:ARYAN RETAIL LLC
Entity type:Organization
Organization Name:ARYAN RETAIL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:239-369-0141
Mailing Address - Street 1:57 HOMESTEAD RD N
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936
Mailing Address - Country:US
Mailing Address - Phone:239-369-0141
Mailing Address - Fax:239-368-0843
Practice Address - Street 1:57 HOMESTEAD RD N
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936
Practice Address - Country:US
Practice Address - Phone:239-369-0141
Practice Address - Fax:239-368-0843
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARYAN RETAIL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-24
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy