Organization
MEDISERV PHARMACY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG ALAN HOLLINGSWORTH SR. (CHIEF OPERATING OFFICER)
(941) 927-2811
Entity
Organization
Contact information
Practice address
5736 CLARK RD, SARASOTA, FL 34233-3302
(941) 927-2811
(941) 927-2812
Mailing address
5736 CLARK RD, SARASOTA, FL 34233-3302
(941) 927-2811
(941) 927-2812
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH 19957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1075084
NABP NUMBER
FL
01
—
PH 19957
PHARMACY LICENSE
FL
Enumeration date
06/14/2005
Last updated
03/07/2023
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