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Organization
PRESCRIPTION SHOPPES LLC
Active
Organization
PRESCRIPTION SHOPPES LLC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMIR AMIN PHARMACIST (DIRECTOR)
(407) 923-2223
Entity
Organization
Contact information
Practice address
864 ORANGE AVE, DAYTONA BEACH, FL 32114-4770
(407) 923-2223
(407) 483-1487
Mailing address
864 ORANGE AVE, DAYTONA BEACH, FL 32114-4770
(407) 923-2223
(407) 483-1487
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH19331
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026053301
—
FL
01
—
1068522
NCPDP
—
01
—
PH19331
BOARD OF PHARMACY
FL
Enumeration date
02/13/2007
Last updated
03/07/2023
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