Organization
ZMS 1 LLC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMIM SOOMRO (ASSISTANT)
(407) 483-5881
Entity
Organization
Contact information
Practice address
22 BROADWAY, KISSIMMEE, FL 34741-5712
(407) 483-5881
(407) 483-5883
Mailing address
22 BROADWAY, KISSIMMEE, FL 34741-5712
(407) 483-5881
(407) 483-5883
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003401100
—
FL
01
—
2128060
PK
—
Enumeration date
10/21/2010
Last updated
10/06/2014
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