Organization
DAYTONA DISCOUNT PHARMACY, INC
Active
Other names
DAYTONA DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH H PATEL R.PH. (PHARMACIST)
(386) 322-5969
Entity
Organization
Contact information
Practice address
815 BEVILLE RD, STE - D, SOUTH DAYTONA, FL 32119-1858
(386) 322-5969
(386) 322-0626
Mailing address
815 BEVILLE RD, STE - D, SOUTH DAYTONA, FL 32119-1858
(386) 322-5969
(386) 322-0750
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
314000000X
Skilled Nursing Facility
—
—
315D00000X
Inpatient Hospice
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23268
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
04/01/2008
Last updated
12/13/2018
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