Provider Demographics
NPI:1962672451
Name:GARDENS DRUGS, INC.
Entity Type:Organization
Organization Name:GARDENS DRUGS, INC.
Other - Org Name:GARDENS DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAILESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:561-622-2141
Mailing Address - Street 1:10800 N MILITARY TRL STE 119
Mailing Address - Street 2:SUITE NO 119
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6527
Mailing Address - Country:US
Mailing Address - Phone:561-622-2141
Mailing Address - Fax:561-622-7449
Practice Address - Street 1:10800 N MILITARY TRL STE 119
Practice Address - Street 2:SUITE NO 119
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6527
Practice Address - Country:US
Practice Address - Phone:561-622-2141
Practice Address - Fax:561-622-7449
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GARDENS DRUGS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL031112001Medicaid
5551110001Medicare NSC