Organization
AV 1 PHARMA LLC
Active
Other names
PALATKA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REENA CHADHA (AUTHORIZED OFFICIAL)
(904) 506-0060
Entity
Organization
Contact information
Practice address
164 S US HIGHWAY 17 STE 10, EAST PALATKA, FL 32131-4066
(904) 506-0060
(904) 515-5795
Mailing address
PO BOX 600861, JACKSONVILLE, FL 32260-0861
(904) 386-6785
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
10/13/2017
Last updated
06/22/2023
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