Organization
MAA BHAWANI INC
Active
Organization
MAA BHAWANI INC
Active
Other names
G & R Healthmart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH PATEL PHARM D (PRESIDENT)
(352) 527-3111
Entity
Organization
Contact information
Practice address
3791 N LECANTO HWY, BEVERLY HILLS, FL 34465-3559
(352) 527-3111
(352) 527-2629
Mailing address
3791 N LECANTO HWY, BEVERLY HILLS, FL 34465-3559
(352) 527-3111
(352) 527-2629
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000825600
—
FL
01
—
2118094
PK
—
Enumeration date
10/21/2008
Last updated
02/28/2017
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