Organization
MARIGOLD AVENUE PHARMACY LLC
Active
Other names
Marigold Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JALANDHAR BORRA (OFFICER)
(407) 201-4640
Entity
Organization
Contact information
Practice address
4792 MARIGOLD AVE, KISSIMMEE, FL 34759-3326
(407) 201-4640
(407) 201-4638
Mailing address
4792 MARIGOLD AVE, KISSIMMEE, FL 34759-3326
(407) 201-4640
(407) 201-4638
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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