Organization
HEALTHPROMOTE PHARMACY LLC
Active
Organization
HEALTHPROMOTE PHARMACY LLC
Active
Other names
Human & Animal Pharmacy dba/Health Promote
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR MEDINA (MANAGING MBR/OWNER)
(321) 319-1090
Entity
Organization
Contact information
Practice address
12701 S JOHN YOUNG PKWY STE 120, ORLANDO, FL 32837-3422
(321) 319-1090
(407) 601-7142
Mailing address
12701 S JOHN YOUNG PKWY STE 120, ORLANDO, FL 32837-3422
(321) 319-1090
(407) 601-7142
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012807900
—
FL
01
—
2143705
PK
—
Enumeration date
01/06/2014
Last updated
11/30/2018
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