Organization
INFUSION SYSTEMS PC
Active
Other names
GENES PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF STEELE (VP)
(941) 629-4666
Entity
Organization
Contact information
Practice address
3890 TAMIAMI TRL, STE C, PORT CHARLOTTE, FL 33952-8401
(941) 629-7784
(941) 627-4369
Mailing address
3890 TAMIAMI TRL, STE C, PORT CHARLOTTE, FL 33952-8401
(941) 629-7784
(941) 627-4369
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH13654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041540
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
104862700
—
FL
Enumeration date
08/01/2006
Last updated
03/12/2010
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