Organization
KAILASH PHARMACY LLC
Active
Other names
KAILASH PHARMACY LLC, COMMUNITY PHARMACY OF HOLLY HILL
Organization subpart
No
Provider details
NPI number
Authorized official
KAJAL L MEHTA RPH (OWNER)
(386) 256-3177
Entity
Organization
Contact information
Practice address
1107 N NOVA RD, DAYTONA BEACH, FL 32117-4108
(713) 992-3289
(386) 256-3177
Mailing address
3755 S NOVA RD STE A, PORT ORANGE, FL 32129-4282
(713) 992-3289
(386) 256-3177
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
02/20/2026
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