Organization
THE AFFORDABLE APOTHECARY INC
Active
Other names
THE AFFORDABLE APOTHECARY INC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK PAGUETTE (PRESIDENT)
(321) 255-2660
Entity
Organization
Contact information
Practice address
401 N WICKHAM RD, STE E, MELBOURNE, FL 32935-8659
(321) 255-2660
(321) 255-2770
Mailing address
401 N WICKHAM RD, STE E, MELBOURNE, FL 32935-8659
(321) 255-2660
(321) 255-2770
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH19443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026413000
—
FL
01
—
1099642
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2006
Last updated
06/14/2010
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