Goverdhan Llc

NPI 1043627367 - Pharmacy - 3336C0003X

NPI Details
NPI 1043627367
Enumeration Date 07/18/2014
Last Updated 07/18/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DIPA DIPA
Position MANAGER
Phone (904) 329-2251
Fax (904) 329-2384
Practice Location
4347-3 UNIVERSITY BLVD S
JACKSONVILLE FL, 32216, US
Phone (904) 329-2251
Fax (904) 329-2384
Business Location
4347-3 UNIVERSITY BLVD S
JACKSONVILLE FL, 32216, US
Phone
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Florida
License Number PH28265
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According to our database, Goverdhan Llc NPI is 1043627367, taxonomy code is 3336C0003X and license number is PH28265, license state is located at Florida. Goverdhan Llc physically located at 4347-3 University Blvd S, Jacksonville FL, 32216. NPI Number 1033115704 has the healthcare provider type.

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1043627367 NPI number is provided on an as is basis without warranty of any kind. 1043627367 is maintained by the National Plan & Provider Enumeration System. The contents of Goverdhan Llc are for informational purposes only.