Organization
VAIDEHI INC
Active
Other names
Prime Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
UDAY PATEL (MANAGER)
(321) 586-5500
Entity
Organization
Contact information
Practice address
1509 S BABCOCK ST, MELBOURNE, FL 32901-3033
(321) 586-5500
(321) 586-5505
Mailing address
1509 S BABCOCK ST, MELBOURNE, FL 32901-3033
(321) 586-5500
(321) 586-5505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
30482
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166571
PK
—
Enumeration date
11/29/2016
Last updated
01/20/2017
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