# PAVAN PUTRA PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Apollo Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144674193
- **Authorized official:** KAUSHAL PATEL RPH (OWNER, PIC, AO)
- **Authorized official phone:** (912) 999-6101

## Contact information

- **Practice address:** 414 W BROUGHTON ST, SAVANNAH, GA 31401-3218
- **Practice address phone:** (912) 999-6101
- **Practice address fax:** (912) 777-5953
- **Mailing address:** 414 W BROUGHTON ST, SAVANNAH, GA 31401-3218
- **Mailing address phone:** (912) 999-6101
- **Mailing address fax:** (912) 777-5953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010288 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/15/2016
- **Last updated:** 07/17/2026