Organization
BISHT LLC
Active
Other names
desoto pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHAN BISHT (PRESIDENT)
(727) 637-2922
Entity
Organization
Contact information
Practice address
301 N BREVARD AVE, STE E, ARCADIA, FL 34266-4501
(863) 491-7415
(863) 491-7416
Mailing address
301 N BREVARD AVE, STE E, ARCADIA, FL 34266-4501
(863) 491-7415
(863) 491-7416
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5703308
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/20/2010
Last updated
04/08/2014
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