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Organization

SHRIJI SWAMI LLC

Active
Other names
Monument Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MITESH R PATEL (MANAGING MEMBER)
(904) 727-3434
Entity
Organization

Contact information

Practice address
1301 MONUMENT RD STE 22, JACKSONVILLE, FL 32225-6462
(904) 727-3434
Mailing address
1301 MONUMENT RD STE 22, JACKSONVILLE, FL 32225-6462
(904) 727-3434

Taxonomy

Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002825900
FL
Enumeration date
01/14/2022
Last updated
01/14/2022
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