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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