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Organization

INTERNAL MEDICINE ASSOCIATES OF LEE COUNTY PHARMACY GROUP

Active
Other names
IMA Pharmacy - Fort Meyers
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA WEITER (CONTROLLER)
(205) 970-2263
Entity
Organization

Contact information

Practice address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(239) 938-1725
(205) 970-6766
Mailing address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(239) 938-1725
(205) 970-6766

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH25555
FL
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5707407
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
06/30/2011
Last updated
10/14/2011
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