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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