Organization
KAILASHRX LLC
Active
Other names
COMMUNITY PHARMACY OF DELTONA
Organization subpart
No
Provider details
NPI number
Authorized official
JAYESH MEHTA MPHARM, RPH (OWNER/ PHARMACY MANAGER)
(386) 259-5435
Entity
Organization
Contact information
Practice address
1240 PROVIDENCE BLVD, UNIT 1 & 2, DELTONA, FL 32725-7352
(386) 259-5435
(386) 259-9582
Mailing address
1240 PROVIDENCE BLVD, UNIT 1 & 2, DELTONA, FL 32725-7352
(386) 259-5435
(386) 259-9582
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112450100
—
FL
Enumeration date
03/25/2020
Last updated
11/02/2022
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