Organization
FATHER DAVID LLC
Active
Other names
MaxCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBA NATHAN PHARMD (PHARMACIST OWNER)
(727) 807-7050
Entity
Organization
Contact information
Practice address
6624 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-1739
(727) 807-7050
(727) 807-6050
Mailing address
6624 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-1739
(727) 807-7050
(727) 807-6050
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005454800
—
FL
Enumeration date
08/09/2019
Last updated
05/06/2021
Update your record
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