Organization
VINEYARD PHARMACY AND HEALTHCARE SERVICES
Active
Other names
Vineyard Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK PEPRAH-ASANTE (OWNER/PHARMACY MANAGER)
(352) 328-9281
Entity
Organization
Contact information
Practice address
6500 SW ARCHER RD STE H, GAINESVILLE, FL 32608-4786
(352) 505-3387
(352) 519-5999
Mailing address
6500 SW ARCHER RD STE H, GAINESVILLE, FL 32608-4786
(352) 505-3387
(352) 519-5999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH28551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148101
PK
—
Enumeration date
09/26/2014
Last updated
09/26/2014
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