Organization
MAA ASHAPURI LLC
Active
Other names
APOPKA CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED AWOMEWE (OWNER/MANAGER)
(407) 814-4843
Entity
Organization
Contact information
Practice address
63 W MAIN ST, APOPKA, FL 32703-5155
(407) 814-4843
(407) 814-4845
Mailing address
63 W MAIN ST, APOPKA, FL 32703-5155
(407) 814-4843
(407) 814-4845
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH28381
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147289
PK
—
Enumeration date
06/26/2014
Last updated
08/16/2016
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