| NPI | 1093230831 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY OF PORT ORANGE |
| Entity Type | Organization |
| Authorized Contact | KALPESHKUMAR C PATEL Owner 321-946-6332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30903) |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2017-08-12 |