Radiance Enterprises INC

NPI #1134413560 in Bushnell, Florida

Provider Information

NPI Number
1134413560
Entity Type
Organization
Organization Name
Radiance Enterprises INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 2, 2011
Last Updated
Jun 8, 2023

Practice Location

Address
417 N WEST ST
State
Florida
ZIP Code
33513-6021
Phone
(352) 569-5800

Authorized Official

Name
JACK DIAMOND
Title
PHARMACY MANAGER
Phone
(352) 569-5800

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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