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Organization

PALM RX PHARMACY LLC

Active
Other names
Palm Rx Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ALPESH PATEL (OWNER)
(813) 304-2221
Entity
Organization

Contact information

Practice address
700 1ST ST S STE 1, WINTER HAVEN, FL 33880-3605
(863) 292-6111
(863) 292-6112
Mailing address
700 1ST STREET SOUTH, STE 1, WINTER HAVEN, FL 33880
(863) 292-6111
(863) 292-6112

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH30172
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017822200
FL
01
2160439
PK
Enumeration date
05/02/2013
Last updated
11/10/2020
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