<Unavail>

LBN: Mt. Dora Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 461-463 Plaza Drive , Eustis FL 32726. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mt. Dora Pharmacy Llc can be contacted via phone (352) 729-6557, or through Patel, Alpesh via phone (813) 304-2221.

Contact Information

Primary practice address
461-463 Plaza Drive Eustis FL 32726
Phone: (352) 729-6557
Fax: (352) 385-7412
Website:
Map and Directions
Authorized official contact:
Name: Patel, Alpesh
Phone: (813) 304-2221

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH29311 Florida

Profile Details

NPI number 1619344777
LBN Legal business name Mt. Dora Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Patel, Alpesh
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2015
Last updated Sep 9th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619344777 NPPES
Other 2153608 PK
MEDICAID 015852200 PK

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