Organization
TREASURE COAST SPECIALTY PHARMACY INC
Active
Other names
TREASURE COAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PETER DEL TORO PHARMD (OWNER AND RPH)
(772) 463-5316
Entity
Organization
Contact information
Practice address
1114 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4708
(772) 463-5316
(772) 463-5319
Mailing address
1114 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4708
(772) 463-5316
(772) 463-5319
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22113
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031666100
—
FL
01
—
1020128
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/15/2006
Last updated
02/16/2011
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