Organization
GRANTSKY VENTURES
Active
Other names
HARBORSIDE PHARMACY & WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA GRANT PHARMD (OWNER)
(561) 360-6008
Entity
Organization
Contact information
Practice address
825 SEAWAY DR STE 4, FORT PIERCE, FL 34949-3122
(772) 306-0236
Mailing address
825 SEAWAY DR STE 4, FORT PIERCE, FL 34949-3122
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
11/28/2024
Last updated
11/28/2024
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