Organization
PASCO PHARMACY INC
Active
Other names
FLORIDA WELLNESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KRUTIKA PATEL (CHIEF EXECUTIVE OFFICER)
(813) 966-0177
Entity
Organization
Contact information
Practice address
9332 STATE ROAD 54 STE 205, NEW PORT RICHEY, FL 34655-1810
(813) 991-9500
(813) 991-9600
Mailing address
9332 STATE ROAD 54 STE 205, NEW PORT RICHEY, FL 34655-1810
(813) 991-9500
(813) 991-9600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH26197
FL
3336C0004X
Compounding Pharmacy
28RO00110800
NJ
3336C0004X
Compounding Pharmacy
360119892
VT
3336C0004X
Compounding Pharmacy
NR1318
NH
3336C0004X
Compounding Pharmacy
NRP022608200.02
OH
3336C0004X
Compounding Pharmacy
Primary
PCN.0002952
CT
3336C0004X
Compounding Pharmacy
PO7088
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147577
PK
—
Enumeration date
08/06/2012
Last updated
01/18/2017
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