Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Other names
NORTH PORT HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HENRY (ADMINISTRATOR)
(941) 861-2900
Entity
Organization
Contact information
Practice address
6950 OUTREACH WAY, NORTH PORT, FL 34287-3405
(941) 861-3828
(941) 861-2945
Mailing address
PO BOX 2658, SARASOTA, FL 34230-2658
(941) 861-3828
(941) 861-2945
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21621
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031109000
—
FL
01
—
2005375
PK
—
Enumeration date
06/27/2006
Last updated
04/26/2017
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