Organization
RAV PHARMA LLC
Active
Other names
HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHISH KAPOOR (MEMBER MANAGER)
(904) 515-0929
Entity
Organization
Contact information
Practice address
450077 SR 200, SUITE 4, CALLAHAN, FL 32011
(904) 515-0929
Mailing address
PO BOX 600786, JACKSONVILLE, FL 32260-0786
(904) 515-0929
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
06/22/2023
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