Organization
DELTONA MEDICAL ARTS PHARMACY INC
Active
Organization
DELTONA MEDICAL ARTS PHARMACY INC
Active
Other names
TOWN CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MUKESH AMIN PHARMACIST (PRESIDENT)
(386) 774-7933
Entity
Organization
Contact information
Practice address
921 TOWN CENTER DR STE 100, ORANGE CITY, FL 32763-8266
(386) 774-7933
(386) 774-7944
Mailing address
921 TOWN CENTER DR, SUITE 100, ORANGE CITY, FL 32763-8311
(386) 774-7933
(386) 774-7944
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH10785
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102109500
—
FL
05
—
102109502
—
FL
01
—
2008786
PK
—
Enumeration date
01/31/2007
Last updated
09/26/2016
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