Organization
PRESCRIPTION SHOPPES LLC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMIR V AMIN RPH, CPH, MBA (DIRECTOR)
(407) 847-2424
Entity
Organization
Contact information
Practice address
864 ORANGE AVE, DAYTONA BEACH, FL 32114-4770
(386) 253-1691
(386) 253-1693
Mailing address
864 ORANGE AVE, DAYTONA BEACH, FL 32114-4770
(386) 253-1691
(386) 253-1693
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH19331
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026053300
—
FL
05
—
026053301
—
FL
01
—
1068522
NCPDP #
FL
Enumeration date
07/25/2007
Last updated
03/07/2023
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