Organization · NPI-2
All Med Pharmcy
Pharmacy, Community/Retail Pharmacy · Port St Lucie, FL
NPI number1891231965
StatusActive
Last updated in NPPESDec 9, 2020
Details
- NPI
- 1891231965
- Entity type
- Organization (NPI-2)
- Legal business name
- All Med Pharmcy
- Organization subpart
- No
- Enumeration date
- Jan 13, 2017
- Certification date
- Dec 9, 2020
- Last updated
- Dec 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PH30237 | FL | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Practice location
1044 Se Port St Lucie BlvdPort St Lucie, FL 34952-5377
Phone 772-400-5877
Mailing address
1044 Se Port St Lucie BlvdPort St Lucie, FL 34952-5377
Phone 772-400-5877
Authorized official
Chanda Shaffer- Griffiths
Owner
7724005877
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