Organization
HARHAR MAHADEV LLC
Active
Other names
Palm Harbor Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIRAL PATEL (MGRM)
(727) 793-7672
Entity
Organization
Contact information
Practice address
34650 US HIGHWAY 19 N STE 101, PALM HARBOR, FL 34684-2155
(727) 787-2273
(727) 787-0044
Mailing address
34650 US HIGHWAY 19 N STE 101, PALM HARBOR, FL 34684-2155
(727) 787-2273
(727) 787-0044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PH24686
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200165706
—
FL
01
—
2125329
PK
—
Enumeration date
06/01/2010
Last updated
01/09/2024
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