Organization
CENTRAL FL PHARMACY CORP
Active
Other names
Central FL Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
QUANLE YOAKUM PHARMD., RPH. (PRESIDENT)
(407) 929-9662
Entity
Organization
Contact information
Practice address
1219 E COLONIAL DR, ORLANDO, FL 32803-4701
(407) 898-0055
(407) 898-0056
Mailing address
1219 E COLONIAL DR, ORLANDO, FL 32803-4701
(407) 898-0055
(407) 898-0056
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26790
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009919400
—
FL
01
—
2138269
PK
—
Enumeration date
04/11/2013
Last updated
03/29/2016
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