Organization
ANGELS PHARMACY II LLC
Active
Other names
ANGEL'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA PATEL (PRESIDENT)
(551) 358-4242
Entity
Organization
Contact information
Practice address
610 ZEAGLER DR, PALATKA, FL 32177-3811
(407) 426-7000
(888) 855-1807
Mailing address
259 E MICHIGAN ST, ORLANDO, FL 32806-4537
(551) 358-4242
(888) 855-1807
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154912
PK
—
Enumeration date
10/27/2015
Last updated
06/23/2016
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