Organization
MISIR DRUGS LLC
Active
Other names
Misir Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVSANKAR MISIR PHARMACIST (OWNER)
(239) 403-0060
Entity
Organization
Contact information
Practice address
8795 TAMIAMI TRL E, UNIT 201, NAPLES, FL 34113-3313
(239) 403-0060
(239) 403-0065
Mailing address
8795 TAMIAMI TRL E, UNIT 201, NAPLES, FL 34113-3313
(239) 403-0060
(239) 403-0065
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25701
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004239800
—
FL
01
—
2132610
PK
—
Enumeration date
09/12/2011
Last updated
12/04/2019
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