Organization
PRIORITY HEALTHCARE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE JOHNSTON (VP OF OPERATIONS)
(407) 854-6532
Entity
Organization
Contact information
Practice address
250 TECHNOLOGY PARK, LAKE MARY, FL 32746-7115
(800) 892-9622
Mailing address
6272 LEE VISTA BLVD, LEGAL DEPT, ORLANDO, FL 32822-5148
(888) 773-7376
(888) 773-7386
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH16300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1070666
—
MI
05
—
1269859
—
LA
05
—
212041
—
MT
05
—
22106600
—
FL
05
—
3116440
—
CT
05
—
498007
—
AZ
05
—
533851
—
IA
05
—
54000435
—
KY
05
—
84326581
—
CO
05
—
91230100
—
MD
05
—
PH905FL
—
AK
Enumeration date
08/04/2005
Last updated
08/22/2020
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