Organization
CENTERWELL PHARMACY, INC.
Active
Other names
Humana Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LYSINGER (VP)
(502) 580-2376
Entity
Organization
Contact information
Practice address
228 W ALEXANDER ST, PLANT CITY, FL 33563-7157
(813) 359-2045
Mailing address
228 W ALEXANDER ST, PLANT CITY, FL 33563-7157
(813) 359-2047
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156165
PK
—
Enumeration date
12/29/2015
Last updated
02/24/2026
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