| NPI | 1619791449 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY OF PORT ORANGE |
| Entity Type | Organization |
| Authorized Contact | KALPESHKUMAR C PATEL Owner 386-256-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |