Organization
LINTON SQUARE PHARMACY NORTH, LLC.
Active
Organization
LINTON SQUARE PHARMACY NORTH, LLC.
Active
Other names
Linton Square Pharmacy and Medical Supplies, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAWANA MICHELE BARNHART MBA (REGISTERED AGENT)
(561) 302-0045
Entity
Organization
Contact information
Practice address
2580 METROCENTRE BLVD STE 5, WEST PALM BEACH, FL 33407-3100
(561) 302-0045
(561) 508-6938
Mailing address
2580 METROCENTRE BLVD STE 5, WEST PALM BEACH, FL 33407-3100
(561) 302-0045
(561) 508-6938
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH32293
FLORIDA DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
09/02/2019
Last updated
09/02/2019
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