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Contact Information

GOVERDHAN LLC
4347-3 UNIVERSITY BLVD S
JACKSONVILLE, FL32216
 Phone: 904-329-2251
 Fax: 904-329-2384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GOVERDHAN LLC

NPI # 1043627367
LBN Legal business name GOVERDHAN LLC
Authorized official DIPA SHAH - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2014
Last updated 09/09/2015 - About 11 years ago
Identifiers
FL License # PH28265
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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