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Organization

HANSARAJ INC

Active
Other names
CHARLOTTE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JANAKKUMAR PATEL (PHARMACY OWNER)
(941) 889-7239
Entity
Organization

Contact information

Practice address
3231 TAMIAMI TRL G, PORT CHARLOTTE, FL 33952-8031
(941) 889-7239
(941) 889-7236
Mailing address
3231 TAMIAMI TRL G, PORT CHARLOTTE, FL 33952-8031
(941) 889-7239
(941) 889-7236

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
PH24749
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002806600
FL
05
002806601
FL
01
2125884
PK
Enumeration date
07/19/2010
Last updated
04/08/2014
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