Organization
HRS CITRUS COUNTY HEALTH DEPT. PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA L. GOODMAN ARNP, PHD (COUNTY HEALTH DEPARTMENT ADMINISTRA)
(352) 527-0068
Entity
Organization
Contact information
Practice address
2804 MARC KNIGHTON CT, LECANTO, FL 34461
(352) 527-0068
Mailing address
2804 MARC KNIGHTON CT, BIN 14, LECANTO, FL 34461
(352) 249-9258
(352) 527-3013
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
PH 13705
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH24681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103381600
—
FL
01
—
PH 13705
COMMUNITY PHARMACY LICENS
FL
Enumeration date
10/02/2006
Last updated
03/07/2023
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