Organization
PERKINS COMPOUNDING PHARMACY INC
Active
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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