Organization
RIAAN PHARMACY LLC
Active
Other names
POLK COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR DHADUK (OWNER/MEMBER)
(863) 816-5151
Entity
Organization
Contact information
Practice address
2105 NEW TAMPA HWY, LAKELAND, FL 33815-7364
(863) 816-5151
Mailing address
4040 SUNSET LAKE DR, LAKELAND, FL 33810-2841
(863) 816-5151
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
03/21/2024
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