Organization
FOUNTAIN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUROTIMI K ALALADE PHARM.D (DIRECTOR)
(713) 397-1544
Entity
Organization
Contact information
Practice address
1331 W BROADWAY ST, OVIEDO, FL 32765-8103
(713) 397-1544
Mailing address
1331 W BROADWAY ST, OVIEDO, FL 32765-8103
(407) 890-9382
(407) 890-9384
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/15/2016
Last updated
09/05/2017
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