Organization
HEAL N HALE LLC
Active
Other names
Winter Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHRUTI PATEL (RPH)
(407) 636-4670
Entity
Organization
Contact information
Practice address
3090 ALOMA AVE STE 140, WINTER PARK, FL 32792-3743
(407) 636-4670
(407) 636-4671
Mailing address
3090 ALOMA AVE STE 140, WINTER PARK, FL 32792-3743
(407) 636-4670
(407) 636-4671
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH28548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014285600
—
FL
01
—
2177832
PK
—
Enumeration date
06/07/2018
Last updated
06/07/2018
Update your record
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