Organization
HARHAR MAHADEV LLC
Active
Other names
Palm Harbor Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLETTE MATHEY PHARMD (MGRM)
(727) 787-2273
Entity
Organization
Contact information
Practice address
34650 US HIGHWAY 19 N STE 101, PALM HARBOR, FL 34684-2155
(727) 787-2273
(727) 787-0044
Mailing address
34650 US HIGHWAY 19 N STE 101, PALM HARBOR, FL 34684-2155
(727) 787-2273
(727) 787-0044
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125329
PK
—
Enumeration date
08/11/2020
Last updated
08/11/2020
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