Organization
WELLNESS PHARMACY OF ST AUGUSTINE LLC
Active
Organization
WELLNESS PHARMACY OF ST AUGUSTINE LLC
Active
Other names
Wellness Pharmacy of St Augustine
Organization subpart
No
Provider details
NPI number
Authorized official
DANIA AJLONI (PHARMACIST/PARTNER)
(904) 429-7333
Entity
Organization
Contact information
Practice address
4405 SARTILLO RD STE C, SAINT AUGUSTINE, FL 32095-5240
(904) 429-7333
(904) 460-2695
Mailing address
4405 SARTILLO RD STE C, SAINT AUGUSTINE, FL 32095-5240
(904) 429-7333
(904) 460-2695
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009136100
—
FL
01
—
2140997
PK
—
Enumeration date
06/14/2013
Last updated
10/28/2016
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