Organization
PHARMA LLC
Active
Other names
benzer pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PINAL SHAH (OWNER)
(863) 382-1148
Entity
Organization
Contact information
Practice address
3023 US HIGHWAY 27 N, SEBRING, FL 33870-1630
(863) 658-2417
(863) 658-2417
Mailing address
3023 US HIGHWAY 27 N, SEBRING, FL 33870-1630
(863) 471-0007
(863) 658-2417
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH24527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002114100
—
FL
01
—
2163735
PK
—
Enumeration date
09/07/2016
Last updated
12/06/2017
Update your record
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