Organization
S A S B INC
Active
Other names
OKEECHOBEE DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D. NELSON RPH. - CRPH (CEO - RPH.)
(863) 763-5100
Entity
Organization
Contact information
Practice address
203 SW PARK ST, OKEECHOBEE, FL 34972-4160
(863) 763-5100
(863) 763-7550
Mailing address
203 SW PARK ST, OKEECHOBEE, FL 34972-4160
(863) 763-5100
(863) 763-7550
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
PH8238
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PH8238
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
PH8238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105007901
—
FL
Enumeration date
10/18/2006
Last updated
05/18/2012
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