Organization
MEDOZ PHARMACY OF POLK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TUSHAR PALAN (PRESIDENT)
(855) 633-6948
Entity
Organization
Contact information
Practice address
40230 US HIGHWAY 27, #100-110, DAVENPORT, FL 33837
(855) 633-6948
(844) 329-6348
Mailing address
40230 US HIGHWAY 27, #100-110, DAVENPORT, FL 33837
(855) 633-6948
(844) 329-6348
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH28725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH28725
PHARMACY
FL
Enumeration date
11/26/2014
Last updated
11/26/2014
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