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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