Organization
SVS DRUG CO DUFUNIAK SPRINGS FL INC
Active
Other names
SERVICE DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN RUTHERFORD RPH (PRESIDENT)
(850) 892-5911
Entity
Organization
Contact information
Practice address
810 BALDWIN AVE, DEFUNIAK SPRINGS, FL 32435-1707
(850) 892-7211
(850) 892-4442
Mailing address
PO BOX 68, DEFUNIAK SPRINGS, FL 32435-0068
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270800
—
FL
01
—
1009009
OTHER ID NUMBER
—
Enumeration date
08/10/2006
Last updated
07/03/2008
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