| NPI | 1932602372 |
|---|---|
| Doing Business As | PORT ORANGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIMETRY GHABRAS Pharmacy Manager 386-212-0591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2025-08-14 |