Organization
17TH STREET DISCOUNT PHARMACY INC
Active
Organization
17TH STREET DISCOUNT PHARMACY INC
Active
Other names
17th Street Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ALDERMAN RPH (OWNER AND PHARMACIST)
(352) 351-3330
Entity
Organization
Contact information
Practice address
2506 SE 17TH ST STE B, OCALA, FL 34471-5523
(352) 351-3330
(352) 351-3390
Mailing address
2506 SE 17TH ST STE B, OCALA, FL 34471-5523
(352) 351-3330
(352) 351-3390
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH19628
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006500
PK
—
Enumeration date
03/04/2008
Last updated
07/21/2021
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