Organization
BNR PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARMIK RAVAL (PRESIDENT/OWNER)
(407) 601-1998
Entity
Organization
Contact information
Practice address
1063 S CLARKE RD, OCOEE, FL 34761-6995
(407) 601-1998
(407) 601-1979
Mailing address
1063 S CLARKE RD, OCOEE, FL 34761-6995
(407) 601-1998
(407) 601-1998
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063
LOCAL
—
Enumeration date
07/13/2020
Last updated
02/18/2026
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