Organization
STAYWELL PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNY VAZHAYIL GEORGE RPH (PHARMACY MANAGER)
(727) 378-4548
Entity
Organization
Contact information
Practice address
10112 US HWY 19, PORT RICHEY, FL 34668
(727) 378-4548
(727) 378-4533
Mailing address
10112 US HWY 19, PORT RICHEY, FL 34668
(727) 378-4548
(727) 378-4533
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26045
FL
Other
Enumeration date
04/06/2012
Last updated
07/30/2019
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