Organization
GUARDIAN PHARMACY LLC
Active
Other names
HEALTHRX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIVA RAMA KRISHNA KONDAPALLI (PRESIDENT)
(407) 915-3565
Entity
Organization
Contact information
Practice address
483 N SEMORAN BLVD STE 109, WINTER PARK, FL 32792-3800
(407) 915-3565
Mailing address
483 N SEMORAN BLVD STE 109, WINTER PARK, FL 32792-3800
(407) 915-3565
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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