Organization
CPMS FLORIDA PHARMACY LLC
Active
Other names
FIRST COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WOLAK (PRESIDENT AND CEO)
(203) 518-1146
Entity
Organization
Contact information
Practice address
2775 OLD WINTER GARDEN RD, OCOEE, FL 34761-2995
(407) 656-0641
(407) 656-0643
Mailing address
11 BISHOP RD, OXFORD, CT 06478-1597
(203) 518-1146
(203) 828-6236
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH31343
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175315
PK
—
Enumeration date
03/08/2018
Last updated
07/19/2018
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