Organization
LITTLE DRUG CO INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LYNN SIKES RPH (PHARMACIST / PIC)
(386) 428-9041
Entity
Organization
Contact information
Practice address
412 CANAL STREET, NEW SMYRNA BEACH, FL 32168
(386) 428-9041
(386) 423-3290
Mailing address
412 CANAL STREET, NEW SMYRNA BEACH, FL 32168
(386) 428-9041
(386) 423-3290
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH13610
FL
333600000X
Pharmacy
Primary
PH6367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007912500
—
FL
05
—
007912501
—
FL
01
—
1017347
NABP NUMBER
—
Enumeration date
08/30/2006
Last updated
01/28/2021
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