Organization
PETE'S PHARMACY INC
Active
Other names
Pete's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BARSKI (OWNER/PHARMACIST)
(561) 339-9412
Entity
Organization
Contact information
Practice address
6400 SE FEDERAL HWY, STUART, FL 34997-8313
(772) 463-7720
(772) 463-7714
Mailing address
10909 SE HARKEN TER, JUPITER, FL 33469-8149
(561) 339-9412
(772) 463-7714
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5713777
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/15/2013
Last updated
03/15/2013
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