Organization
CLEARWATER PHARMACY LLC
Active
Other names
Clearwater Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LINTON (OWNER)
(912) 844-2405
Entity
Organization
Contact information
Practice address
4700 140TH AVE N STE 112, CLEARWATER, FL 33762-3847
(727) 900-7787
(727) 754-3862
Mailing address
4700 140TH AVE N, SUITE 112, CLEARWATER, FL 33762-3846
(727) 900-7787
(727) 754-3862
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29994
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158050
PK
—
Enumeration date
12/04/2015
Last updated
05/09/2016
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