Organization
FT MEADE COMMUNITY PHARMACY INC
Active
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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