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Organization

MARIAGROUPLLC

Active
Other names
Northbay Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MAYA JOMON ANTONY (OWNER)
(727) 687-7500
Entity
Organization

Contact information

Practice address
6641 MADISON ST, NEW PORT RICHEY, FL 34652-1966
(727) 687-7500
(727) 845-8008
Mailing address
15835 BEREA DR, ODESSA, FL 33556-3041

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
06/13/2013
Last updated
06/13/2013
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