Organization
FCS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARRETT BOSTWICK (PRESIDENT)
(561) 314-1700
Entity
Organization
Contact information
Practice address
951 BROKEN SOUND PKWY, SUITE 252, BOCA RATON, FL 33487-3507
(800) 223-7151
(561) 995-9162
Mailing address
PO BOX 533211, CHARLOTTE, NC 28290-3211
(800) 223-7151
(561) 995-9162
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH18941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025907100
—
FL
05
—
200410770A
—
IN
Enumeration date
06/11/2006
Last updated
06/24/2009
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