Organization
GAYATRIKRUPA LLC
Active
Organization
GAYATRIKRUPA LLC
Active
Other names
Highlands pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DHAVALKUMAR PATEL (MANAGER)
(561) 427-4374
Entity
Organization
Contact information
Practice address
7217 US HIGHWAY 27 N, SEBRING, FL 33870-1051
(561) 427-4374
Mailing address
7217 US HIGHWAY 27 N, SEBRING, FL 33870-1051
(561) 427-4374
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016659100
—
FL
01
—
2155798
PK
—
Enumeration date
12/04/2015
Last updated
05/02/2016
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