# PHARAOHS TRADING L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental and Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396329538
- **Authorized official:** MR. PETER GENDI (OWNER)
- **Authorized official phone:** (386) 366-2016

## Contact information

- **Practice address:** 743 S NOVA RD, ORMOND BEACH, FL 32174-7332
- **Practice address phone:** (386) 366-2016
- **Practice address fax:** (386) 238-9845
- **Mailing address:** 743 S NOVA RD, ORMOND BEACH, FL 32174-7332
- **Mailing address phone:** (386) 366-2016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 05/12/2021
- **Last updated:** 05/12/2021
