Organization
YPM TOTAL CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MUNCHEL (PRESIDENT)
(863) 398-8169
Entity
Organization
Contact information
Practice address
5050 S FLORIDA AVE, STE 3, LAKELAND, FL 33813-2510
(863) 644-7600
(863) 644-7444
Mailing address
5050 S FLORIDA AVE, STE 3, LAKELAND, FL 33813-2510
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH21854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018539
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/11/2006
Last updated
08/22/2020
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