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Organization

SACRED HEART OUT PATIENT PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEY HEART (MANAGER)
(850) 416-7137
Entity
Organization

Contact information

Practice address
5149 N 9TH AVE, STE 1137, PENSACOLA, FL 32504-8756
(850) 416-7137
(850) 416-6122
Mailing address
5149 N 9TH AVE, STE 1137, PENSACOLA, FL 32504-8756

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH0012690
FL
3336C0004X
Compounding Pharmacy
3336M0002X
Mail Order Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1024239
OTHER ID NUMBER
Enumeration date
02/06/2007
Last updated
03/05/2008
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