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Organization
ST OF FL DESOTO JUVENILE CORRECTIONAL FACILITY PHARMACY
Active
Organization
ST OF FL DESOTO JUVENILE CORRECTIONAL FACILITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN RILEY (SUPERINTENDENT)
(863) 491-5367
Entity
Organization
Contact information
Practice address
5871 SE HIGHWAY 31, ARCADIA, FL 34266-7679
(863) 491-5367
(863) 993-4735
Mailing address
5871 SE HIGHWAY 31, ARCADIA, FL 34266-7679
(863) 491-5367
(863) 993-4735
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PH18403
FL
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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