Organization
1ST COMMUNITY PHARMACY LLC
Active
Other names
1st Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
J C (PHARMACY MANAGER)
(407) 656-0641
Entity
Organization
Contact information
Practice address
2775 OLD WINTER GARDEN RD, OCOEE, FL 34761-2995
(407) 656-0641
(407) 656-0643
Mailing address
2775 OLD WINTER GARDEN RD, OCOEE, FL 34761-2995
(407) 656-0641
(407) 656-0643
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24784
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002601000
—
FL
01
—
2126064
PK
—
Enumeration date
07/30/2010
Last updated
01/18/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us