Organization
CENTERWELL PHARMACY, INC.
Active
Other names
Humana Pharmacy, Inc. 05041
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LYSINGER (VP)
(502) 580-2376
Entity
Organization
Contact information
Practice address
1651 S CONGRESS AVE, WEST PALM BEACH, FL 33406-5903
(561) 966-1052
(561) 966-1057
Mailing address
10749 MARKS WAY, MIRAMAR, FL 33025-3976
(800) 526-1489
(800) 526-1491
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011698900
—
FL
01
—
2012239
PK
—
Enumeration date
07/13/2006
Last updated
02/24/2026
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