Organization
BALAJI PHARMA LLC
Active
Other names
PALM PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MERINA SHAH (OWNER)
(813) 689-7700
Entity
Organization
Contact information
Practice address
162 N PARSONS AVE, BRANDON, FL 33510
(813) 689-7700
(813) 689-7705
Mailing address
162 N PARSONS AVE, BRANDON, FL 33510
(813) 689-7700
(813) 689-7705
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25168
FL
Other
Enumeration date
01/04/2011
Last updated
03/07/2023
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