Organization
PAVAN PUTRA INVESTMENT GROUP LLC
Active
Other names
Apollo Pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
DHRUMINKUMAR PATEL (PIC/RPH/COOWNER)
(912) 988-7185
Entity
Organization
Contact information
Practice address
111 CANAL ST STE 101, POOLER, GA 31322-4054
(912) 999-6101
(912) 777-5953
Mailing address
111 CANAL ST STE 101, POOLER, GA 31322-4054
(912) 999-6101
(912) 777-5953
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010307
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163745
PK
—
Enumeration date
08/21/2016
Last updated
07/25/2023
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