Organization
KAILASHRX LLC
Active
Other names
COMMUNITY PHARMACY OF DELTONA (LTC)
Organization subpart
No
Provider details
NPI number
Authorized official
JAYESH MEHTA (OWNER/MANAGER)
(386) 259-5435
Entity
Organization
Contact information
Practice address
1240 PROVIDENCE BLVD UNIT # 1 & 2, DELTONA, FL 32725
(386) 259-5435
(386) 259-9582
Mailing address
1240 PROVIDENCE BLVD UNIT # 1 & 2, DELTONA, FL 32725
(386) 259-5435
(386) 259-9582
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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