Organization
CND3 INC
Active
Other names
Robalo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NIRAV PATEL (OWNER/VICE PRESIDENT)
(561) 844-1191
Entity
Organization
Contact information
Practice address
228 US HIGHWAY 1, LAKE PARK, FL 33403-3552
(561) 844-1191
(561) 842-1588
Mailing address
228 US HIGHWAY 1, LAKE PARK, FL 33403-3552
(561) 844-1191
(561) 842-1588
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001686800
—
FL
05
—
001686801
—
FL
01
—
2123189
PK
—
Enumeration date
11/01/2006
Last updated
01/14/2014
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