Mariagroupllc
NPI #1164860946 in New Port Richey, Florida
Provider Information
- NPI Number
- 1164860946
- Entity Type
- Organization
- Organization Name
- Mariagroupllc
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jun 13, 2013
- Last Updated
- Jun 13, 2013
Practice Location
- Address
- 6641 MADISON ST
- City
- New Port Richey
- State
- Florida
- ZIP Code
- 34652-1966
- Phone
- (727) 687-7500
Authorized Official
- Name
- MRS. MAYA JOMON ANTONY
- Title
- OWNER
- Phone
- (727) 687-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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