Organization
MY PHARMACY PUNTA GORDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN BRANHAM (OWNER)
(321) 239-2413
Entity
Organization
Contact information
Practice address
514 EAST GRACE STREET, PUNTA GORDA, FL 33950
(407) 968-3324
Mailing address
514 EAST GRACE STREET, PUNTA GORDA, FL 33950
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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