Organization
MT. DORA PHARMACY LLC
Active
Organization
MT. DORA PHARMACY LLC
Active
Other names
Mid Florida Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL (OWNER)
(813) 304-2221
Entity
Organization
Contact information
Practice address
461-463 PLAZA DRIVE, EUSTIS, FL 32726
(352) 729-6557
(352) 385-7412
Mailing address
2722 W. OLD US HWY 441, MOUNT DORA, FL 32757
(352) 729-6557
(352) 385-7412
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015852200
—
FL
01
—
2153608
PK
—
Enumeration date
08/25/2015
Last updated
09/09/2021
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