Organization
HENDRY COUNTY HOSPITAL AUTHORITY
Active
Organization
HENDRY COUNTY HOSPITAL AUTHORITY
Active
Other names
Hendry Regional Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL THEROUX (CHIEF OPERATING OFFICER)
(863) 902-3051
Entity
Organization
Contact information
Practice address
542 W SAGAMORE AVE BLDG E, CLEWISTON, FL 33440-3514
(863) 983-6186
(863) 254-3011
Mailing address
542 W SAGAMORE AVE BLDG E, CLEWISTON, FL 33440-3514
(863) 983-6186
(863) 254-3011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
04/29/2025
Last updated
07/28/2026
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