Organization
NORTH PORT PHARMACY INC
Active
Organization
NORTH PORT PHARMACY INC
Active
Other names
NORTH PORT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROD PAWICH RPH (OWNER PHARMACIST)
(941) 426-2800
Entity
Organization
Contact information
Practice address
14255 SOUTH TAMIAMI TRAIL, SUITE C, NORTH PORT, FL 34287
(941) 426-2800
(941) 423-6368
Mailing address
14255 SOUTH TAMIAMI TRAIL, SUITE C, NORTH PORT, FL 34287
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH16778
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021534100
—
FL
01
—
1086734
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/01/2006
Last updated
03/07/2023
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