Organization
PMSI INC
Active
Organization
PMSI INC
Active
Other names
PMSI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORI DAUGHERTY (PRESIDENT OF PHARMACY)
(813) 318-6844
Entity
Organization
Contact information
Practice address
4502 E WOODLAND CORP. BLVD., STE 105, TAMPA, FL 33614
(813) 318-6758
(813) 627-2502
Mailing address
PO BOX 850001, DEPT 0570, ORLANDO, FL 32885-0001
(813) 318-6758
(813) 627-2502
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH19802
FL
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1066124
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/27/2006
Last updated
11/07/2012
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