Organization
ARYAN RETAIL LLC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDEL ARYAN RPH (PRESIDENT)
(239) 369-0141
Entity
Organization
Contact information
Practice address
57 HOMESTEAD RD N, LEHIGH ACRES, FL 33936-6607
(239) 369-0141
Mailing address
57 HOMESTEAD RD N, LEHIGH ACRES, FL 33936-6607
(239) 369-0141
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022960100
—
FL
05
—
022960101
—
FL
01
—
1051200
NCPDP #
FL
Enumeration date
12/30/2005
Last updated
05/28/2024
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