Organization
GASTROCARE LLP
Active
Other names
Digestive Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE MISKIMINS (MANAGER, PHARMACY LICENSING/CONTRAC)
(817) 572-0009
Entity
Organization
Contact information
Practice address
3001 CORAL HILLS DR STE 380A, CORAL SPRINGS, FL 33065-4172
(754) 702-3836
(754) 702-3837
Mailing address
1620 W NORTHWEST HWY, SUITE 100, GRAPEVINE, TX 76051-3177
(817) 572-0009
(817) 720-1039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30288
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163595
PK
—
Enumeration date
08/16/2016
Last updated
09/08/2016
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