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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