Organization
O'QUINN PHARMACY, INC.
Active
Organization
O'QUINN PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA WILSON (PRESIDENT)
(850) 584-7692
Entity
Organization
Contact information
Practice address
200 N JEFFERSON ST, PERRY, FL 32347-2652
(850) 584-7692
Mailing address
200 N JEFFERSON ST, PERRY, FL 32347-2652
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH6357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103559200
—
FL
Enumeration date
01/24/2007
Last updated
03/24/2015
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