Organization
REEBA SRIVASTAVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEBA SRIVASTAVA (OWNER)
(661) 586-0048
Entity
Organization
Contact information
Practice address
8973 HERITAGE BAY CIR, ORLANDO, FL 32836-5035
(661) 586-0048
Mailing address
8973 HERITAGE BAY CIR, ORLANDO, FL 32836-5035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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