Organization
SARASOTA SPECIALTY PHRM AND WELLNESS CTR
Active
Other names
SARASOTA SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD LETENDRE RPH (MBA)
(941) 366-0880
Entity
Organization
Contact information
Practice address
2075 SIESTA DR, SARASOTA, FL 34239-5232
(941) 366-0880
(941) 366-4977
Mailing address
2075 SIESTA DR, SARASOTA, FL 34239-5232
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020178
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/23/2007
Last updated
09/30/2008
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