NPI 1003104779
Maa Bhawani INC
Practice location
- Address
- 5691 S Suncoast Blvd, Homosassa, FL 34446-2605
- Phone
- (352) 628-0096
- Fax
- (352) 527-2629
- Mailing address
- 3791 N Lecanto Hwy, Beverly Hills, FL 34465-3559
Authorised official
- Name
- Rajesh Patel
- Title
- Owner/President
- Phone
- (352) 527-3111
Registered specialties (3)
Community/Retail Pharmacy
Primary
Pharmacy
Compounding Pharmacy
Registry record
- NPI
- 1003104779
- Entity type
- Organization
- NPI issued
- 15 Jul 2011
- Record last updated
- 28 Feb 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.