Provider Demographics
NPI:1669068920
Name:MAHIMN RX LLC
Entity type:Organization
Organization Name:MAHIMN RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHISHKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-604-7445
Mailing Address - Street 1:1905 W STATE ROAD 434
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-6015
Mailing Address - Country:US
Mailing Address - Phone:407-350-5925
Mailing Address - Fax:407-350-5926
Practice Address - Street 1:1905 W STATE ROAD 434
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-6015
Practice Address - Country:US
Practice Address - Phone:407-350-5925
Practice Address - Fax:407-350-5926
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAHIMN RX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-21
Last Update Date:2023-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy