Organization
MAHIMN RX LLC
Active
Other names
OAKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISHKUMAR PATEL (OPERATIONS MANAGER /OWNER)
(706) 604-7445
Entity
Organization
Contact information
Practice address
1905 W STATE ROAD 434, LONGWOOD, FL 32750-6015
(407) 350-5925
(407) 350-5926
Mailing address
1905 W STATE ROAD 434, LONGWOOD, FL 32750-6015
(407) 350-5925
(407) 350-5926
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113460700
—
FL
01
—
2127815
PK
—
Enumeration date
11/24/2010
Last updated
06/18/2023
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