Organization
SACRED HEART OUT PATIENT PHARMACY
Active
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
Update your record
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