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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