| NPI | 1609324086 |
|---|---|
| Doing Business As | PAGODA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRAGNESH PATEL President 904-673-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482677) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2017-01-20 |