Whalio Doctors

NPI 1003104779

Maa Bhawani INC

Organisation Community/Retail Pharmacy Homosassa, FL

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
Suppliers Taxonomy 3336C0003X Licence PH25878 (FL)
Pharmacy
Suppliers Taxonomy 333600000X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X

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.