Organization
GREENWOOD HEALTHCARE LLC
Active
Other names
GREENWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW KIMMEL PHARMACIST (MANAGER)
(407) 915-6505
Entity
Organization
Contact information
Practice address
3801 W LAKE MARY BLVD UNIT 127, LAKE MARY, FL 32746-6168
(407) 915-6505
Mailing address
3801 W LAKE MARY BLVD UNIT 127, LAKE MARY, FL 32746-6168
(407) 915-6505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH27610
FL
3336C0003X
Community/Retail Pharmacy
PH27610
FL
Other
Enumeration date
03/06/2014
Last updated
07/21/2015
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