Organization
POLOMAR SPECIALTY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DERBY (PRESIDENT)
(914) 987-2875
Entity
Organization
Contact information
Practice address
32866 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3124
(727) 202-2217
(727) 361-6197
Mailing address
32866 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3124
(727) 202-2217
(727) 361-6197
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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