Organization
THREE OAKS PHARMACY, INC.
Active
Other names
Bonita Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAIVIK K SHAH (PRESIDENT)
(239) 221-8884
Entity
Organization
Contact information
Practice address
10347 BONITA BEACH RD SE UNIT 117, BONITA SPRINGS, FL 34135-4817
(973) 461-6737
Mailing address
10347 BONITA BEACH RD SE UNIT 117, BONITA SPRINGS, FL 34135-4817
(239) 221-8884
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH30936
FL
Other
Enumeration date
08/28/2017
Last updated
04/21/2021
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