Organization
OPTIMUM CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA NDUM PHARMD (OWNER/MANAGER)
(386) 627-8595
Entity
Organization
Contact information
Practice address
2405 E MOODY BLVD, BUNNELL, FL 32110-5985
(386) 627-8595
Mailing address
15 WARREN PL, PALM COAST, FL 32164-7659
(386) 627-8595
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH27154
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH27154
FL
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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