Organization
PAVAN PUTRA PHARMACY INC
Active
Other names
Apollo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAUSHAL PATEL RPH (OWNER, PIC, AO)
(912) 999-6101
Entity
Organization
Contact information
Practice address
418 W BROUGHTON ST, SAVANNAH, GA 31401-3218
(912) 999-6101
(912) 777-5953
Mailing address
418 W BROUGHTON ST, SAVANNAH, GA 31401-3218
(912) 999-6101
(912) 777-5953
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010288
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176661A
—
GA
01
—
2159627
PK
—
Enumeration date
04/15/2016
Last updated
07/25/2023
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