Organization
MY PHARMACY RX FL LLC
Active
Organization
MY PHARMACY RX FL LLC
Active
Other names
My Pharmacy Rx FL,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS GRIFFITH (OWNER/ MANAGER)
(954) 691-6544
Entity
Organization
Contact information
Practice address
616 21ST ST, VERO BEACH, FL 32960-0951
(772) 562-0000
(772) 562-0077
Mailing address
616 21ST ST, VERO BEACH, FL 32960-0951
(772) 562-0000
(772) 562-0077
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5703651
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/12/2011
Last updated
01/25/2011
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