Organization
MODEL PHARMACY LLC
Active
Other names
MODEL PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SATVIK THAKKAR (OWNER)
(407) 622-2510
Entity
Organization
Contact information
Practice address
1714 N MAIN ST, KISSIMMEE, FL 34744-3307
(407) 572-8779
(407) 572-8780
Mailing address
1714 N MAIN ST, KISSIMMEE, FL 34744-3307
(407) 572-8779
(407) 572-8780
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012220900
—
FL
Enumeration date
09/28/2013
Last updated
07/16/2025
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