Organization
DIKSHA INC
Active
Other names
Lemon Bay Drugs East
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KOOCH (PRESIDENT)
(941) 475-5636
Entity
Organization
Contact information
Practice address
530 N WASHINGTON ST, JACKSONVILLE, FL 32202-2735
(941) 475-5636
(941) 474-7993
Mailing address
530 N WASHINGTON ST, JACKSONVILLE, FL 32202-2735
(941) 475-5636
(941) 474-7993
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH 21404
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022771700
—
FL
Enumeration date
07/22/2005
Last updated
10/19/2023
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