Organization
OCEAN SIDE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRIE DAVID SESKIN (OWNER)
(772) 465-1118
Entity
Organization
Contact information
Practice address
1118 COLONNADES DR, FT PIERCE, FL 34949-3063
(772) 465-1118
(772) 465-2426
Mailing address
1118 COLONNADES DR, FT PIERCE, FL 34949-3063
(772) 465-1118
(772) 465-2426
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102373000
—
FL
Enumeration date
11/17/2006
Last updated
06/25/2008
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