Organization
ANGELS PHARMACY III LLC
Active
Organization
ANGELS PHARMACY III LLC
Active
Other names
ANGEL'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HARDIK SHAH (OWNER, AO)
(352) 272-5944
Entity
Organization
Contact information
Practice address
7455 S US HIGHWAY 1, STE A, TITUSVILLE, FL 32780-8115
(551) 358-4242
(888) 855-1807
Mailing address
7455 S US HIGHWAY 1, STE A, TITUSVILLE, FL 32780-8115
(551) 358-4242
(888) 855-1807
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH31025
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173292
PK
—
Enumeration date
11/16/2017
Last updated
07/19/2018
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