Organization
MANATEE FAMILY PHARMACY
Active
Other names
Manatee Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GRIMALDI (OWNER AND PHARMACY MANAGER)
(941) 713-7049
Entity
Organization
Contact information
Practice address
3705 MANATEE AVE W, BRADENTON, FL 34205-1711
(941) 981-9632
Mailing address
9319 RAES CREEK PL, PALMETTO, FL 34221-6632
(941) 713-7049
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH 27960
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145298
PK
—
Enumeration date
04/22/2014
Last updated
04/22/2014
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