Whalio Doctors

NPI 1497099055

Giriraj LLC

Organisation Community/Retail Pharmacy Lake Wales, FL

Practice location

Address
1322 State Road 60 E, Lake Wales, FL 33853-4322
Phone
(863) 676-0400
Fax
(863) 676-0445
Mailing address
1322 Stae Rd 60 E, Lakewales, FL 33853

Authorised official

Name
Gopika Trivedi
Title
Owner
Phone
(863) 676-0400

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PH26509 (FL)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1497099055
Entity type
Organization
NPI issued
20 Nov 2012
Record last updated
21 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.