Organization
CAB PHARMACY INC
Active
Other names
GOOD HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BHARATH JANNU (PHARMACY MANAGER)
(863) 229-5974
Entity
Organization
Contact information
Practice address
1501 1ST ST S, SUITE 1, WINTER HAVEN, FL 33880-4307
(863) 229-5974
(863) 229-5975
Mailing address
1501 1ST ST S, SUITE 1, WINTER HAVEN, FL 33880-4307
(863) 229-5974
(863) 229-5975
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008452300
—
FL
01
—
2138028
PK
—
Enumeration date
11/30/2012
Last updated
09/27/2016
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