Organization
METRO PHARMACEUTICAL SERVICES INC
Active
Other names
INTERLACHEN COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ADETAYO OLAYINKA (PHARMACIST)
(386) 684-0924
Entity
Organization
Contact information
Practice address
126-1 SOUTH CR 315, INTERLACHEN, FL 32148
(386) 684-0924
(386) 684-0926
Mailing address
126-1 SOUTH CR 315, INTERLACHEN, FL 32148
(386) 684-0924
(386) 684-0926
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002548600
—
FL
05
—
002548601 DME
—
FL
01
—
2125551
PK
—
Enumeration date
06/24/2010
Last updated
02/21/2017
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