Organization
FT MEADE COMMUNITY PHARMACY INC
Active
Other names
FT MEADE COMM PHCY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOHNSON RPH (OWNER)
(863) 285-9285
Entity
Organization
Contact information
Practice address
107 W BROADWAY ST STE B, FORT MEADE, FL 33841-3300
(863) 285-9285
(863) 285-9982
Mailing address
107 W BROADWAY ST STE B, FORT MEADE, FL 33841-3300
(863) 285-9285
(863) 285-9982
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017525
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
06/30/2010
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