Organization
HUNT CLUB PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN CHABAN (OWNER)
(407) 463-5848
Entity
Organization
Contact information
Practice address
425 S HUNT CLUB BLVD, STE 1001, APOPKA, FL 32703-4947
(407) 389-6094
(407) 389-6097
Mailing address
425 S HUNT CLUB BLVD, STE 1001, APOPKA, FL 32703-4947
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024102
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/29/2006
Last updated
08/22/2020
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