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Organization

AV PHARMA LLC

Active
Other names
Citizen Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
VIPUL B MAMTORA (DIRECTOR)
(844) 224-8493
Entity
Organization

Contact information

Practice address
1545 UNIVERSITY BLVD N STE A, JACKSONVILLE, FL 32211-5229
(844) 224-8493
(844) 324-8493
Mailing address
PO BOX 600047, JACKSONVILLE, FL 32260-0047
(844) 224-8493
(844) 324-8493

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3336S0011X
Specialty Pharmacy

Other

Enumeration date
01/10/2022
Last updated
12/15/2025
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