Organization
SAISAI INC
Active
Other names
LONGWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KETAL KAPADIA (PHARMACY MANAGER)
(407) 474-3393
Entity
Organization
Contact information
Practice address
252 W STATE ROAD 434, LONGWOOD, FL 32750-5114
(407) 332-9753
Mailing address
252 WEST S.R. 434, LONGWOOD, FL 32750
(407) 332-9753
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24471
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002013000
—
FL
01
—
2123994
PK
—
Enumeration date
02/26/2010
Last updated
03/24/2016
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