NPI 1497099055
Giriraj LLC
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
Pharmacy
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.