Organization
SOUTHCARE PHARMACY, INC.
Active
Other names
Southcare Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY BRAND (OWNER)
(352) 463-2240
Entity
Organization
Contact information
Practice address
6450 38TH AVE N STE 110, ST PETERSBURG, FL 33710-1649
(727) 344-3902
(727) 344-1356
Mailing address
6450 38TH AVE N STE 110, ST PETERSBURG, FL 33710-1649
(727) 344-3902
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25055
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5703093
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/14/2010
Last updated
02/04/2026
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