Organization
COCOA BEACH DISCOUNT PHARMACY LLC
Active
Other names
Cocoa Beach Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HETALBEN PATEL (PHARMACY MANAGER)
(321) 799-2030
Entity
Organization
Contact information
Practice address
291 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3529
(321) 799-2030
(321) 799-2050
Mailing address
291 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3529
(321) 799-2030
(321) 799-2050
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24812
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002760200
—
FL
01
—
5701354
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/16/2010
Last updated
11/02/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us