Organization
WINTER PARK DISCOUNT DRUG NILKANTH INC.
Active
Other names
WINTER PARK DRUG STORE INC, winter park discount drugs
Organization subpart
No
Provider details
NPI number
Authorized official
URMIL SHAH (PRESIDENT)
(848) 667-3791
Entity
Organization
Contact information
Practice address
5220 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7056
(910) 791-2346
(910) 791-6885
Mailing address
5220 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7056
(910) 791-2346
(910) 791-6885
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720605553
—
NC
Enumeration date
04/14/2006
Last updated
09/30/2021
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