| NPI | 1205672359 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY OF DELTONA (LTC) |
| Entity Type | Organization |
| Authorized Contact | JAYESH MEHTA Owner/Manager 386-259-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |