Organization
HIYA RX, LLC
Active
Organization
HIYA RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PUSHPAKKUMAR D RAVAL (MEMBER)
(352) 804-0817
Entity
Organization
Contact information
Practice address
1140 E VAN FLEET DR, BARTOW, FL 33830-7626
(352) 804-0817
Mailing address
1140 E VAN FLEET DR, BARTOW, FL 33830-7626
(352) 804-0817
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
01/27/2019
Last updated
06/26/2019
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