Provider Demographics
NPI:1447142724
Name:SHELAT ENTERPRISE INCORPORATED
Entity type:Organization
Organization Name:SHELAT ENTERPRISE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELAT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:951-304-2038
Mailing Address - Street 1:25060 HANCOCK AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5959
Mailing Address - Country:US
Mailing Address - Phone:951-304-2038
Mailing Address - Fax:
Practice Address - Street 1:25060 HANCOCK AVE STE 101
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5959
Practice Address - Country:US
Practice Address - Phone:951-304-2038
Practice Address - Fax:951-304-2068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy