Organization
ORLANDO DISCOUNT PHARMACY INC
Active
Other names
Orlando Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NIRAV PATEL PHARM.D (OWNER)
(407) 412-6912
Entity
Organization
Contact information
Practice address
419 E MICHIGAN ST STE 4, ORLANDO, FL 32806-4511
(407) 412-6912
(407) 412-6913
Mailing address
419 E MICHIGAN ST STE 4, ORLANDO, FL 32806-4511
(407) 412-6912
(407) 412-6913
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24984
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5702267
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/28/2010
Last updated
02/08/2012
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