Healthcare Provider Details
I. General information
NPI: 1487371217
Provider Name (Legal Business Name): ZENITH APOTHECARY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2022
Last Update Date: 05/17/2025
Certification Date: 05/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6909 OLD HIGHWAY 441 S STE 106
MOUNT DORA FL
32757-7039
US
IV. Provider business mailing address
6909 OLD HIGHWAY 441 S STE 106
MOUNT DORA FL
32757-7039
US
V. Phone/Fax
- Phone: 407-789-0048
- Fax: 407-789-0049
- Phone: 407-789-0048
- Fax: 407-789-0049
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BHARGAV
PATEL
Title or Position: PHARMACIST
Credential:
Phone: 407-789-0048