Organization
ST.CLOUD PHARMACY&WELLNESS CENTER
Active
Organization
ST.CLOUD PHARMACY&WELLNESS CENTER
Active
Parent organization
ST.CLOUD PHARMACY & WELLNESS CENTER
Other names
ST.CLOUD COMPOUNDING PHARMACY AND WELLNESS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST.CLOUD PHARMACY & WELLNESS CENTER
Authorized official
SAJI THOMAS (EMPLOYEE)
(407) 593-2959
Entity
Organization
Contact information
Practice address
2801 13TH ST, SAINT CLOUD, FL 34769-4134
(407) 593-2959
Mailing address
2801 13TH ST, SAINT CLOUD, FL 34769-4134
(407) 593-2959
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH31091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3565000
—
FL
Enumeration date
06/01/2018
Last updated
06/01/2018
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