Organization
ARCHANGEL ONE LLC
Active
Other names
4 Corners Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR MESSIHA B.S. (R.PH. MANAGER/PHARMACY OWNER)
(352) 610-4355
Entity
Organization
Contact information
Practice address
11001 SPRING HILL DR, SPRING HILL, FL 34608-5052
(352) 610-4355
(352) 610-4388
Mailing address
11001 SPRING HILL DR, SPRING HILL, FL 34608-5052
(352) 610-4355
(352) 610-4388
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28365
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014448200
—
FL
01
—
2147203
PK
—
Enumeration date
07/31/2014
Last updated
02/14/2017
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