Organization
RAV PHARMA LLC
Active
Other names
HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHISH KAPOOR (OFFICER)
(904) 515-0929
Entity
Organization
Contact information
Practice address
450077 STATE ROAD 2OO, UNIT 4, CALLAHAN, FL 32011
(904) 515-0929
Mailing address
PO BOX 600786, JACKSONVILLE, FL 32260-0786
(904) 515-0929
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
11/10/2022
Last updated
06/22/2023
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