Organization
FAITH PAHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAN OKPALEKE (DIRECTOR)
(941) 729-2021
Entity
Organization
Contact information
Practice address
575 10TH ST E, PALMETTO, FL 34221-4013
(941) 729-2021
(941) 729-2123
Mailing address
575 10TH ST E, PALMETTO, FL 34221-4013
(941) 729-2021
(941) 729-2123
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
PH21445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030996600
—
FL
Enumeration date
11/13/2006
Last updated
01/26/2009
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