Organization
FLORIDA AGRICULTURE AND MECHANICAL UNIVERSITY
Active
Parent organization
FLORIDA AGRICULTURE AND MECHANICAL UNIVERSITY
Other names
FAMU Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA AGRICULTURE AND MECHANICAL UNIVERSITY
Authorized official
MARLON HONEYWELL PHARM.D. (ASSOCIATE DEAN/PROFESSOR)
(850) 599-3301
Entity
Organization
Contact information
Practice address
438 W BREVARD ST, SUITE 11, TALLAHASSEE, FL 32301-1004
(850) 412-5490
(850) 412-5491
Mailing address
438 W BREVARD ST, SUITE 11, TALLAHASSEE, FL 32301-1004
(850) 412-5490
(850) 412-5491
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PH21824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH21824
PHARMACY LICENSE
FL
Enumeration date
10/15/2007
Last updated
05/04/2011
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