Organization
RICHEY MEDICAL PHARMACY, LLC
Active
Other names
Richey Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MARCOS RPH (OWNER/ PHARMACIST IN CHARGE)
(813) 431-1718
Entity
Organization
Contact information
Practice address
5346 GRAND BLVD, NEW PORT RICHEY, FL 34652-4012
(727) 807-5344
(727) 807-6320
Mailing address
4939 FLORAMAR TER APT 207, NEW PORT RICHEY, FL 34652-3303
(813) 431-1718
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105880500
—
FL
Enumeration date
12/06/2019
Last updated
08/21/2020
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