Organization
EAST COAST PHARMACY LLC
Active
Other names
Century Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN AGGARWAL (OWNER/MANAGER/AO)
(352) 213-4295
Entity
Organization
Contact information
Practice address
695 N WASHINGTON AVE, UNIT 101, TITUSVILLE, FL 32796-2101
(321) 747-0600
(321) 385-2180
Mailing address
695 N WASHINGTON AVE, UNIT 101, TITUSVILLE, FL 32796-2101
(321) 747-0600
(321) 385-2180
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001490800
—
FL
01
—
2121443
PK
—
Enumeration date
03/18/2009
Last updated
07/19/2018
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