Mount Dora Pharmacy

LBN: Mangalmurti Llc
Mount Dora Pharmacy is an health care organization with primary practice located at 17435 Us Highway 441 Suite-102, Eustis FL 32726. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mangalmurti Llc can be contacted via phone (352) 357-1406, or through Patel, Jimin via phone (352) 357-1406.

Contact Information

Primary practice address
17435 Us Highway 441 Suite-102 Eustis FL 32726
Phone: (352) 357-1406
Fax: (352) 357-1402
Website:
Map and Directions
Authorized official contact:
Name: Patel, Jimin
Phone: (352) 357-1406

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH26261 Florida

Profile Details

NPI number 1063773679
LBN Legal business name Mangalmurti Llc
DBA Doing business as Mount Dora Pharmacy
Authorized official Patel, Jimin
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2012
Last updated Nov 23rd, 2022 - about 3 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 1063773679 NPPES
Florida MEDICAID 006612500
Florida Other 2135382

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