Organization
PIERSON COMMUNITY PHARMACY INC
Active
Other names
PIERSON COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HANAN FRANCIS (OWNER,AO)
(386) 738-6268
Entity
Organization
Contact information
Practice address
650 W PLYMOUTH AVE, DELAND, FL 32720-3260
(386) 738-6268
(386) 738-6269
Mailing address
112 E 1ST AVE, PIERSON, FL 32180-3039
(386) 749-9557
(386) 749-9512
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000987600
—
FL
05
—
000987601
—
FL
01
—
2118550
PK
—
Enumeration date
01/20/2009
Last updated
06/23/2015
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