Omjrb Llc

NPI 1124417241 - Pharmacy - 333600000X

NPI Details
NPI 1124417241
Enumeration Date 01/13/2015
Last Updated 01/13/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name VIMAL VIMAL
Position OWNER
Phone (407) 738-0972
Fax (877) 599-6183
Practice Location
2722 W OLD US HIGHWAY 441
MOUNT DORA FL, 32757-3503, US
Phone (407) 738-0972
Fax (877) 599-6183
Business Location
2722 W OLD US HIGHWAY 441
MOUNT DORA FL, 32757-3503, US
Phone (407) 738-0972
Fax (877) 599-6183
Toxanomy
Taxonomy Code 333600000X
License State Florida
License Number PH28791
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According to our database, Omjrb Llc NPI is 1124417241, taxonomy code is 333600000X and license number is PH28791, license state is located at Florida. Omjrb Llc physically located at 2722 W Old Us Highway 441, Mount Dora FL, 32757-3503. NPI Number 1033115704 has the healthcare provider type.

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1124417241 NPI number is provided on an as is basis without warranty of any kind. 1124417241 is maintained by the National Plan & Provider Enumeration System. The contents of Omjrb Llc are for informational purposes only.