Organization
DELTONA PHARMACY OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMKRISHNA PATEL (OWNER)
(386) 574-7600
Entity
Organization
Contact information
Practice address
776 DELTONA BLVD, DELTONA, FL 32725-7107
(386) 574-7600
(386) 574-1489
Mailing address
776 DELTONA BLVD, DELTONA, FL 32725-7107
(386) 574-7600
(386) 574-1489
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH24105
FLORIDA LICENSE
FL
Enumeration date
06/04/2009
Last updated
06/04/2009
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