Organization
CHANDI INC
Active
Other names
RX SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
VIRAL PATEL (PHRMCY MGR)
(201) 892-1968
Entity
Organization
Contact information
Practice address
11 RYANT BLVD, SEBRING, FL 33872-4075
(863) 402-5436
(863) 402-5438
Mailing address
11 RYANT BLVD, SEBRING, FL 33872-4075
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020332
OTHER ID NUMBER
—
Enumeration date
08/10/2006
Last updated
07/19/2007
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