Organization
THE AFFORDABLE APOTHECARY INC
Active
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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