Organization
RADHIKA CORP
Active
Other names
GROVELAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DUSHYANT PATEL (VP)
(352) 429-1353
Entity
Organization
Contact information
Practice address
145 E BROAD ST, GROVELAND, FL 34736-2501
(352) 429-1353
(352) 429-1383
Mailing address
145 E BROAD ST, GROVELAND, FL 34736-2501
(352) 429-1353
(352) 429-1383
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030845500
—
FL
01
—
2004561
PK
—
Enumeration date
11/29/2005
Last updated
05/24/2016
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