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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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