Organization
MAAHI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PINAL SHAH (OWNER)
(941) 786-9181
Entity
Organization
Contact information
Practice address
417 TAMIAMI TRL S, VENICE, FL 34285-2600
(941) 786-9181
(941) 786-9183
Mailing address
417 TAMIAMI TRL S, VENICE, FL 34285-2600
(941) 786-9183
(941) 786-9183
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH28429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014819200
—
FL
01
—
2167539
PK
—
Enumeration date
02/08/2017
Last updated
03/20/2018
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