Organization
MAHA SAI LLC
Active
Other names
LAKE SUMTER LANDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HARDIK SHAH (OWNER)
(352) 272-5944
Entity
Organization
Contact information
Practice address
910 OLD CAMP RD STE 170, THE VILLAGES, FL 32162-5609
(352) 268-3454
(888) 855-1807
Mailing address
1285 DUSTY PINE DR, APOPKA, FL 32703-8006
(352) 272-5944
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH31292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176638
PK
—
Enumeration date
03/27/2018
Last updated
05/27/2020
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