Organization
G & C HEALTHCARE, INC.
Active
Organization
G & C HEALTHCARE, INC.
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
4007 S NOVA RD, PORT ORANGE, FL 32127-4922
(386) 304-8222
(386) 304-0050
Mailing address
4036 D S NOVA RD, PORT ORANGE, FL 32127
(386) 304-8222
(386) 304-0050
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
PH19548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026365600
—
FL
05
—
026365601
—
FL
01
—
1097206
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
05/06/2025
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