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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