Organization
SHANDS TEACHING HOSPITAL AND CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. HOLMES (CEO)
(352) 733-1500
Entity
Organization
Contact information
Practice address
2000 SW ARCHER RD, RM 2130, GAINESVILLE, FL 32608-1136
(352) 265-0720
(352) 265-0682
Mailing address
PO BOX 100303, GAINESVILLE, FL 32610-0303
(352) 627-9045
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH11976
FL
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101528100
—
FL
01
—
2011305
PK
—
Enumeration date
10/20/2006
Last updated
12/31/2025
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