Organization
RX GROUP ONE LLC
Active
Other names
COMMUNITY PHARMACY OF ORMOND BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
PALAK PATEL (OWNER)
(386) 872-7605
Entity
Organization
Contact information
Practice address
305 CLYDE MORRIS BLVD, SUITE # 200, ORMOND BEACH, FL 32174-8181
(386) 872-7605
(386) 492-6337
Mailing address
305 CLYDE MORRIS BLVD, SUITE # 200, ORMOND BEACH, FL 32174-8181
(386) 872-7605
(386) 492-6337
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007256400
—
FL
01
—
2137218
PK
—
Enumeration date
10/02/2012
Last updated
10/26/2015
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