OrganizationActive
Marimina LLC
NPI 1932602372 · Community/Retail Pharmacy · Port Orange, FL
Provider details
- NPI number
- 1932602372
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dimetry Ghabras, Pharmacy Manager(386) 212-0591
Specialties & taxonomies
Suppliers
Practice location
5820 S Williamson Blvd Ste 2
Port Orange, FL 32128-6401
Phone: (386) 212-0591
Approximate (ZIP-level) locationGet directions
Mailing address
5820 S Williamson Blvd Ste 2
Port Orange, FL 32128-6401
Other names (DBA / former)
- Doing business as
- Port Orange Pharmacy
Registry dates
- Enumerated
- 2018-03-12
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.