NPI | 1063773679 |
---|---|
Doing Business As | MOUNT DORA PHARMACY |
Entity Type | Organization |
Authorized Contact | JIMIN PATEL Owner 352-357-1406 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH26261) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2012-05-31 |
Last Update Date | 2022-11-23 |