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Organization

EIR HEALTH LLC

Active
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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
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