Solantic Of South Fl LLC
Pharmacy in Port St Lucie, FL. Organization (NPI-2).
NPI number1780908285
StatusActive
Last updated in NPPESMar 26, 2010
Details
- NPI
- 1780908285
- Entity type
- Organization (NPI-2)
- Legal business name
- Solantic Of South Fl LLC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2010
- Last updated
- Mar 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | HCC 5535 | FL | Yes |
Practice location
784 E Prima Vista BlvdPort St Lucie, FL 34952-2271
Phone 772-878-7311 · Fax 772-878-7321
Mailing address
8711 Perimeter Park BlvdSuite 6
Jacksonville, FL 32216-6388
Phone 904-223-2330 · Fax 904-425-4356
Authorized official
Karen Bowling
Ceo
9042232330
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