Organization
SARJU GROUP LLC
Active
Organization
SARJU GROUP LLC
Active
Other names
Community Pharmacy of Ormond Beach
Organization subpart
No
Provider details
NPI number
Authorized official
ARVIND MENDPARA (PHARMACIST)
(386) 917-1881
Entity
Organization
Contact information
Practice address
305 CLYDE MORRIS BLVD STE 200, ORMOND BEACH, FL 32174-8182
(386) 917-1881
(386) 310-3870
Mailing address
305 CLYDE MORRIS BLVD, SUITE # 200, ORMOND BEACH, FL 32174-8181
(386) 917-1881
(386) 310-3870
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH27254
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143200
PK
—
Enumeration date
11/26/2013
Last updated
12/03/2013
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