Organization
PELICAN VILLAGE PHARMACY, LLC
Active
Other names
PELICAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SURESH CHAUDHARI RPH (OWNER)
(239) 560-4354
Entity
Organization
Contact information
Practice address
24830 S TAMIAMI TRL STE 1800, BONITA SPRINGS, FL 34134-7017
(239) 319-0744
(239) 319-0856
Mailing address
24830 S TAMIAMI TRL STE 1800, BONITA SPRINGS, FL 34134-7017
(239) 319-0744
(239) 319-0856
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/26/2020
Last updated
02/05/2021
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