Organization
TARGET
Active
Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PATRICK POLK PHARMD (PHARMACIST)
(337) 802-8139
Entity
Organization
Contact information
Practice address
10000 GULF CENTER DR, FORT MYERS, FL 33913-8961
(239) 432-2818
Mailing address
10000 GULF CENTER DR, FORT MYERS, FL 33913-8961
(239) 432-2818
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS52276
FL
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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