Organization
PRESCRIPTION PLACE OF DEFUNIAK SPRINGS INC
Active
Other names
THE PRESCRIPTION PLACE
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE ABBOTT (PHARMACIST)
(850) 892-6898
Entity
Organization
Contact information
Practice address
1337 US HIGHWAY 90 W, DEFUNIAK SPRINGS, FL 32433-1470
(850) 892-6898
(850) 892-6899
Mailing address
1337 US HIGHWAY 90 W, DEFUNIAK SPRINGS, FL 32433-1470
(850) 892-6898
(850) 892-6899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21644
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031129400
—
FL
01
—
2005427
PK
—
Enumeration date
07/19/2006
Last updated
12/10/2015
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