Organization
CORKREANS THE PHARMACIST INC
Active
Other names
THE CORKREAN CLINIC FOR HEALTH AND WELLNESS, The Pharmacist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ALAN CORKREAN RPH (PHARMACIST/OWNER)
(352) 742-8080
Entity
Organization
Contact information
Practice address
32713 COUNTY ROAD 473, LEESBURG, FL 34788-8856
(352) 742-8080
(352) 742-9292
Mailing address
32713 COUNTY ROAD 473, LEESBURG, FL 34788-8856
(352) 742-8080
(352) 742-9292
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101248700
—
FL
05
—
101248701
—
FL
01
—
1067277
NABP
FL
Enumeration date
06/11/2006
Last updated
07/20/2020
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