Organization
SRQ CARE PHARMACY INC
Active
Other names
SRQ care compounding pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YELYZAVETA BRAMUROVA PHARMD RPH (PHARMACIST IN CHARGE / CEO)
(941) 759-1000
Entity
Organization
Contact information
Practice address
4201 S TAMIAMI TRL, SARASOTA, FL 34231-3627
(941) 750-1000
Mailing address
4201 S TAMIAMI TRL, SARASOTA, FL 34231-3627
(941) 750-1000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH33086
FLORIDA STATE BOARD OF PHARMACY
FL
Enumeration date
12/21/2020
Last updated
12/21/2020
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