Organization
CENTERWELL PHARMACY, INC.
Active
Other names
Humana Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LYSINGER (VP)
(502) 580-2376
Entity
Organization
Contact information
Practice address
9030 KIMBERLY BLVD, BOCA RATON, FL 33434-2823
(561) 470-5897
(561) 482-5464
Mailing address
10749 MARKS WAY, MIRAMAR, FL 33025-3976
(800) 526-1489
(800) 526-1491
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010160
PK
—
Enumeration date
07/13/2006
Last updated
02/24/2026
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