Organization
NNR GROUP LLC
Active
Organization
NNR GROUP LLC
Active
Other names
DRUGSTORE HEALTHMART
Organization subpart
No
Provider details
NPI number
Authorized official
NARESH JAIN (PHCY MANG)
(727) 267-9131
Entity
Organization
Contact information
Practice address
7535 MEDICAL DR, STE 1, HUDSON, FL 34667-6502
(727) 869-3784
(727) 869-3783
Mailing address
7535 MEDICAL DR, STE 1, HUDSON, FL 34667-6502
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23177
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032539
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/14/2008
Last updated
12/02/2008
Update your record
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