| NPI | 1649687302 |
|---|---|
| Doing Business As | FORMULA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | APURV P SHAH Owner 407-614-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PH28319) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-11-13 |