Organization
ALLGEN 3 LLC
Active
Other names
LLOYDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIPULKUMAR PATEL (PHARMACY MANAGER)
(863) 409-1075
Entity
Organization
Contact information
Practice address
1240 PROVIDENCE BLVD STE 7, DELTONA, FL 32725-7352
(386) 259-5124
(386) 259-5128
Mailing address
1240 PROVIDENCE BLVD STE 7, DELTONA, FL 32725-7352
(386) 259-5124
(386) 259-5128
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5700895
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/30/2010
Last updated
01/14/2011
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