Organization
MAHANT PHARMACY INC
Active
Other names
FLORESTA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
URMIL SHAH (VP)
(772) 340-4142
Entity
Organization
Contact information
Practice address
1550 SE FLORESTA DR, PORT ST LUCIE, FL 34983-4069
(772) 340-4142
(772) 785-5753
Mailing address
1550 SE FLORESTA DR, PORT ST LUCIE, FL 34983-4069
(772) 340-4142
(772) 785-5753
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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