Organization
APOTHECARE ENTERPRISES INC
Active
Other names
THE APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA WILLIAMSON R PH (SEC/TREAS)
(386) 658-3132
Entity
Organization
Contact information
Practice address
23516 COUNTY ROAD 250, LIVE OAK, FL 32060-5760
(386) 658-3132
(386) 658-6432
Mailing address
23516 COUNTY ROAD 250, LIVE OAK, FL 32060-5760
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH0011428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1062506
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/09/2007
Last updated
01/12/2009
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