Organization
NIMOH PHARMACY AND COMPOUNDING LLC
Active
Other names
NIMOH PHARMACY AND COMPOUNDING, Nimoh Pharmacy and Compounding LLC, Nimoh Pharmacy and Compounidng
Organization subpart
No
Provider details
NPI number
Authorized official
DADDY NIMOH BOATENG RPH (P.I.C / OWNER)
(352) 437-5985
Entity
Organization
Contact information
Practice address
12878 US HIGHWAY 301, DADE CITY, FL 33525-5801
(352) 437-5985
(352) 437-5986
Mailing address
12878 US HIGHWAY 301, DADE CITY, FL 33525-5801
(352) 437-5985
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH28347
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012884100
—
FL
Enumeration date
07/30/2014
Last updated
05/29/2024
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