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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