Organization
JAI BOHLE INC
Active
Other names
Aum Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL PATEL (OWNER/PRESIDENT)
(813) 317-3018
Entity
Organization
Contact information
Practice address
2646 NARNIA WAY, SUITE 101, LAND O LAKES, FL 34638-7231
(813) 388-6875
(813) 388-6871
Mailing address
2646 NARNIA WAY, SUITE 101, LAND O LAKES, FL 34638-7231
(813) 388-6875
(813) 388-6871
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001184200
—
FL
01
—
2120101
PK
—
Enumeration date
05/03/2009
Last updated
03/17/2017
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