Organization
SAINT THOMAS COMPOUNDING LLC
Active
Other names
St. Thomas Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE BLACKMON (ADMINISTRATOR)
(844) 288-7889
Entity
Organization
Contact information
Practice address
36511 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1340
(844) 288-7889
(847) 257-8384
Mailing address
36511 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1340
(844) 288-7889
(847) 257-8384
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167437
PK
—
Enumeration date
01/27/2017
Last updated
01/27/2017
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