Organization
AMICITIA PHARMA LLC
Active
Other names
1st Choice Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SOKHA YIM PHARM.D. (PHARMACY MANAGER)
(727) 954-8877
Entity
Organization
Contact information
Practice address
4105 49TH ST N STE B, SAINT PETERSBURG, FL 33709-5711
(727) 954-8877
(727) 329-8872
Mailing address
4105 49TH ST N STE B, SAINT PETERSBURG, FL 33709-5711
(727) 954-8877
(727) 329-8872
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003884500
—
FL
Enumeration date
03/07/2019
Last updated
03/07/2019
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