Organization
RAV-BAL, INC
Active
Other names
THE RX SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANILA AMIN (PRESIDENT)
(727) 398-5020
Entity
Organization
Contact information
Practice address
5322 DUHME RD, MADEIRA BEACH, FL 33708-2755
(727) 398-5020
(727) 395-9381
Mailing address
5322 DUHME RD, MADEIRA BEACH, FL 33708-2755
(727) 398-5020
(727) 395-9381
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH21082
FL
Other
Enumeration date
05/05/2006
Last updated
08/10/2007
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