Organization
MARIMINA LLC
Active
Other names
Port Orange Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIMETRY GHABRAS (PHARMACY MANAGER)
(386) 212-0591
Entity
Organization
Contact information
Practice address
5820 S WILLIAMSON BLVD STE 2, PORT ORANGE, FL 32128-6401
(386) 212-0591
Mailing address
5820 S WILLIAMSON BLVD STE 2, PORT ORANGE, FL 32128-6401
(386) 366-8888
(386) 366-8644
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
FL
Other
Enumeration date
03/12/2018
Last updated
08/14/2025
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