Organization
GENE WINDOM INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE WINDOM R.PH. (PRESIDENT)
(352) 243-6340
Entity
Organization
Contact information
Practice address
12302 ROPER BLVD, UNIT 106 & 107, CLERMONT, FL 34711-8515
(352) 243-6340
(352) 243-6596
Mailing address
12302 ROPER BLVD, UNIT 106 & 107, CLERMONT, FL 34711-8515
(352) 243-6340
(352) 243-6596
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH22192
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031651200
—
FL
01
—
1020558
NCPDP #
FL
Enumeration date
08/19/2006
Last updated
03/07/2023
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