Organization
GEORGE PHARMACY INC
Active
Other names
GEORGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN KHALIL (OWNER)
(386) 322-2180
Entity
Organization
Contact information
Practice address
948 ORANGE AVE, DAYTONA BEACH, FL 32114-4668
(386) 322-2180
(386) 322-3282
Mailing address
948 ORANGE AVE, DAYTONA BEACH, FL 32114-4668
(386) 322-2180
(386) 322-3282
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157401
PK
—
Enumeration date
04/10/2014
Last updated
12/18/2016
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