Organization
IMMOKALEE PHARMACY LLC
Active
Other names
Piper Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
HARKIKKUMAR PATEL (OWNER)
(813) 328-3970
Entity
Organization
Contact information
Practice address
1201 PIPER BLVD, UNIT 12, NAPLES, FL 34110
(239) 658-6123
(239) 658-6127
Mailing address
2812 W. MLK JR BLVD, TAMPA, FL 33607
(813) 328-3970
(239) 658-6127
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
30304
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018774100
—
FL
01
—
2162462
PK
—
Enumeration date
06/06/2010
Last updated
07/27/2022
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