Organization
SOUTHCHASE COMMUNITY PHARMACY
Active
Other names
Patients First Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAROJ KODE (PRESIDENT)
(407) 204-4090
Entity
Organization
Contact information
Practice address
12981 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6592
(407) 204-4090
(407) 204-4094
Mailing address
13726 BUDWORTH CIR, ORLANDO, FL 32832-6114
(407) 204-4090
(407) 204-4094
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019252900
—
FL
05
—
019252901
—
FL
01
—
2162564
PK
—
Enumeration date
08/15/2016
Last updated
03/13/2019
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