Organization
MAA ASHAPURA INC
Active
Parent organization
MAA ASHAPURA INC
Other names
FT MCCOY PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAA ASHAPURA INC
Authorized official
MR. GAURAV MAHATMA (OWNER)
(352) 438-1161
Entity
Organization
Contact information
Practice address
11386 E HIGHWAY 316, FORT MC COY, FL 32134-8114
(352) 438-1161
(352) 438-1160
Mailing address
10479 N FLORIDA AVE, CITRUS SPRINGS, FL 34434-3268
(352) 897-4615
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH32005
FLORIDA STATE BOARD OF PHARMACY
FL
Enumeration date
05/08/2019
Last updated
05/08/2019
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