Organization
WAKULLA STATION PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA HUGHES ABARBANEL RPH (OWNER)
(850) 421-4040
Entity
Organization
Contact information
Practice address
961 WOODVILLE HWY, CRAWFORDVILLE, FL 32327-0706
(850) 421-4040
(850) 421-4020
Mailing address
961 WOODVILLE HWY, CRAWFORDVILLE, FL 32327-0706
(850) 421-4040
(850) 421-4020
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH21189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028236700
—
FL
Enumeration date
02/19/2007
Last updated
06/26/2008
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