Organization
GOLDENROD PHARMACY LLC
Active
Other names
Goldenrod Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAMA BODDAPATI (PRESIDENT)
(405) 474-9393
Entity
Organization
Contact information
Practice address
2223 S GOLDENROD RD, ORLANDO, FL 32822-4676
(407) 730-3866
(407) 730-3347
Mailing address
2223 S GOLDENROD RD, ORLANDO, FL 32822-4676
(407) 730-3866
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011063200
—
FL
01
—
2144154
PK
—
Enumeration date
02/10/2014
Last updated
07/20/2016
Update your record
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