Organization
SPAR USA LLC
Active
Other names
SIGNATURE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SATVIK THAKKAR (PRESIDENT)
(407) 622-2510
Entity
Organization
Contact information
Practice address
660 W FAIRBANKS AVE, WINTER PARK, FL 32789-4779
(407) 622-2510
(407) 622-2511
Mailing address
545 N VIRGINIA AVE, WINTER PARK, FL 32789-3169
(407) 622-2510
(407) 622-2511
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH27481
FL
Other
Enumeration date
02/12/2014
Last updated
02/22/2024
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