Organization
MEDICURE LONGWOOD INC
Active
Organization
MEDICURE LONGWOOD INC
Active
Other names
medicure Longwood
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY AGGARWAL (MANAGER, AO)
(407) 434-0433
Entity
Organization
Contact information
Practice address
420 W STATE ROAD 434 STE 100, LONGWOOD, FL 32750-5159
(407) 434-0433
(407) 910-2184
Mailing address
420 W STATE ROAD 434, SUITE 100, LONGWOOD, FL 32750-5159
(407) 434-0433
(407) 910-2184
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26988
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015528500
—
FL
01
—
2141563
PK
—
Enumeration date
08/05/2013
Last updated
04/12/2017
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