Mile Stretch LLC

NPI #1457652257 in Holiday, Florida

Provider Information

NPI Number: 1457652257
Entity Type: Organization
Organization Name: Mile Stretch LLC
Primary Specialty: Pharmacy
Enumeration Date: Nov 10, 2010
Last Updated: Nov 10, 2010

Practice Location

Address: 1936 US HIGHWAY 19
City: Holiday
State: Florida
ZIP Code: 34691-5539
Phone: (727) 945-7297

Authorized Official

Name: MR. BIJU VARGHESE, RPH
Title: MANAGER
Phone: (727) 945-7297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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