Organization
AVM COMPOUNDING PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRAL PATEL (PRESIDENT)
(727) 793-7672
Entity
Organization
Contact information
Practice address
501 S LINCOLN AVE STE 203, CLEARWATER, FL 33756-5945
(727) 447-4248
Mailing address
2277 HANNAH WAY S, DUNEDIN, FL 34698-9452
(727) 447-4248
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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