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Organization

SIDDH INC

Active
Other names
Town Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MAHENDRA J CHAUDHARI (OWNER)
(908) 868-5461
Entity
Organization

Contact information

Practice address
107 W MAIN ST, IMMOKALEE, FL 34142-3926
(239) 658-1048
(239) 658-1050
Mailing address
11673 PLANTATION PRESERVE CIR S, FORT MYERS, FL 33966-8372

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH28773
FL
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073903233
NPPES
FL
Enumeration date
01/27/2015
Last updated
10/13/2020
About Stedi
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