Organization
PELICAN VILLAGE PHARMACY, LLC
Active
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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