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Organization

SUDDHA PHARMACY, LLC

Active
Other names
Fedco Drugs LTC
Organization subpart
No

Provider details

NPI number
Authorized official
AMAR PATEL (MANAGER)
(561) 659-6713
Entity
Organization

Contact information

Practice address
255 SUNRISE AVE, PALM BEACH, FL 33480-3876
(561) 659-6713
Mailing address
255 SUNRISE AVE, PALM BEACH, FL 33480-3876
(561) 659-6713

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
PH21413
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5713121
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
01/22/2013
Last updated
01/22/2013
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