Organization
MAHANT RX INC
Active
Other names
Belle Glade Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DHRUVANG BIPIN PATEL (PRESIDENT)
(561) 571-9861
Entity
Organization
Contact information
Practice address
136 S MAIN ST STE B, BELLE GLADE, FL 33430-3424
(561) 571-9861
(561) 571-9105
Mailing address
136 S MAIN ST, SUITE B, BELLE GLADE, FL 33430-3424
(561) 571-9861
(561) 571-9105
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023341800
—
FL
Enumeration date
12/06/2017
Last updated
06/29/2021
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