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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