Organization
SHARED PHARMACY HOLDINGS LLC
Active
Other names
SHARED PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
HAVEN PERKINS (COO)
(407) 804-1836
Entity
Organization
Contact information
Practice address
6149 CHANCELLOR DR STE 2780, ORLANDO, FL 32809-5680
(407) 251-5492
(407) 251-5392
Mailing address
6149 CHANCELLOR DR, SUITE 2780, ORLANDO, FL 32809-5680
(407) 251-5492
(407) 251-5392
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH24886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5701936
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/24/2010
Last updated
10/14/2010
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