Organization
CENTRAL CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SRIDHAR NADIMPALLI (PHARMACY MANAGER)
(407) 270-6722
Entity
Organization
Contact information
Practice address
2815 DIRECTORS ROW, SUITE 700, ORLANDO, FL 32809-5520
(407) 270-6722
Mailing address
2815 DIRECTORS ROW, SUITE 700, ORLANDO, FL 32809-5520
(407) 270-6722
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH28687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH28687
STATE LICENSE
FL
Enumeration date
11/04/2014
Last updated
11/04/2014
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