MEDICARE: DAYTONA DISCOUNT PHARMACY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy
2	310400000X	Assisted Living Facility
3	3104A0625X	Assisted Living Facility (Mental Illness)
4	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
5	314000000X	Skilled Nursing Facility
6	315D00000X	Inpatient Hospice
7	3336C0003X	Community/Retail Pharmacy	PH23268	FL

General Provider Information

NPI Number	:	1023280765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYTONA DISCOUNT PHARMACY, INC

Provider Business Mailing Address
First Line	:	815 BEVILLE RD
Second Line	:	STE - D
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-1858
Country	:	US
Telephone Number	:	386-322-5969
Fax Number	:	386-322-0750

Provider Business Practice Location Address
First Line	:	815 BEVILLE RD
Second Line	:	STE - D
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-1858
Country	:	US
Telephone Number	:	386-322-5969
Fax Number	:	386-322-0626

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MANISH H PATEL
Credential	:	R.PH.
Telephone Number	:	386-322-5969

Provider Enumeration Date	:	04/01/2008
Last Update Date	:	12/13/2018

Similar Medicare Providers

1114249927 — MANISH H PATEL R.PH
Practice Location Address:

815 BEVILLE RD , SUITE#D
SOUTH DAYTONA, FL
32119-1858

Practice Phone: 386-322-5969
Practice Fax: 386-322-0626

1629922943 — FRONTIDA HOME HEALTHCARE MI LLC
Practice Location Address:

229 BROOKWOOD DR UNIT 14
SOUTH LYON, MI
48178-1858

Practice Phone: 484-468-1492
Practice Fax:

1548464761 — DR. GEORGE THOMAS LYNCH IV DMD
Practice Location Address:

1352 SOUTH ST , C5
PHILADELPHIA, PA
19147-1858

Practice Phone: 267-909-9551
Practice Fax: 267-909-9761

1093015406 — COBBLESTONE KIDS PEDIATRIC DENTISTRY
Practice Location Address:

1352 SOUTH ST , C5
PHILADELPHIA, PA
19147-1858

Practice Phone: 215-913-3615
Practice Fax:

1255745238 — DR. KATHARINE LAURA WOEHLING D.M.D.
Practice Location Address:

1352 SOUTH ST , #C5
PHILADELPHIA, PA
19147-1858

Practice Phone: 267-909-9551
Practice Fax:

1649736430 — BRET LESAVOY
Practice Location Address:

1352 SOUTH ST # C4
PHILADELPHIA, PA
19147-1858

Practice Phone: 267-909-9551
Practice Fax:

Directions to “DAYTONA DISCOUNT PHARMACY, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.