Organization
AV PHARMA LLC
Active
Other names
CITIZEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIPUL B MAMTORA (MBR MGR)
(844) 224-8493
Entity
Organization
Contact information
Practice address
1545 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-5229
(844) 224-8493
(844) 324-8493
Mailing address
PO BOX 600047, JACKSONVILLE, FL 32260-0047
(844) 224-8493
(844) 324-8493
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH27581
FL
333600000X
Pharmacy
Primary
PH27581
FL
3336S0011X
Specialty Pharmacy
PH27581
FL
Other
Enumeration date
05/20/2015
Last updated
12/15/2025
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