Organization
PERKINS COMPOUNDING PHARMACY INC
Active
Other names
PERKINS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN PERKINS (OWNER PHCST)
(772) 978-6470
Entity
Organization
Contact information
Practice address
4015 20TH ST, VERO BEACH, FL 32960-2403
(772) 978-6470
(772) 978-6471
Mailing address
4015 20TH ST, VERO BEACH, FL 32960-2403
(772) 978-6470
(772) 978-6471
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH17348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022744700
—
FL
01
—
2013454
PK
—
Enumeration date
05/25/2006
Last updated
09/09/2013
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