Organization
GOLDENROD PHARMACY
Active
Other names
BVL Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAMA C (PRESIDENT)
(405) 474-9393
Entity
Organization
Contact information
Practice address
1952 E OSCEOLA PKWY, KISSIMMEE, FL 34743-8626
(321) 214-0062
Mailing address
1952 E OSCEOLA PKWY, KISSIMMEE, FL 34743-8626
(321) 214-0062
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27667
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145168
PK
—
Enumeration date
04/16/2014
Last updated
04/16/2014
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