Organization
WINNERS PHARMACY INC.
Active
Other names
Winners' pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH OBIMDIKE (DIRECTOR/PHARMACIST)
(352) 595-1110
Entity
Organization
Contact information
Practice address
17050 N US HIGHWAY 301 STE 5, CITRA, FL 32113-2515
(352) 595-1110
(352) 595-1120
Mailing address
17050 N US HIGHWAY 301 STE 5, CITRA, FL 32113-2515
(352) 595-1110
(352) 595-1120
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5706291
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/23/2011
Last updated
06/23/2011
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