Organization
EIR HEALTH LLC
Active
Other names
Centra Rx
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MANSOUR (PHARMACIST)
(877) 218-3454
Entity
Organization
Contact information
Practice address
120 E MARKS ST, STE 250, ORLANDO, FL 32803-3857
(877) 218-3454
(877) 218-6461
Mailing address
120 E MARKS ST, STE 250, ORLANDO, FL 32803-3857
(877) 218-3454
(877) 218-6461
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH31436
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177876
PK
—
Enumeration date
06/08/2018
Last updated
06/08/2018
About Stedi
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