Organization
PSJ PHARMACY LLC
Active
Other names
Port St. John Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH ARVINDBHAI PATEL RPH (MANAGER/PHARMACIST)
(321) 637-0911
Entity
Organization
Contact information
Practice address
6801 N US HIGHWAY 1 STE 1, COCOA, FL 32927-5095
(321) 637-0911
(321) 639-0856
Mailing address
6801 N US HIGHWAY 1 STE 1, COCOA, FL 32927-5095
(321) 637-0911
(321) 639-0856
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001149901
—
FL
Enumeration date
06/17/2013
Last updated
03/11/2021
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