Organization
NEW LIFE PHARMACY & MEDICAL SUPPLY INC
Active
Other names
New Life Pharmacy & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO REID PHARM D (PHARMACIST/OWNER)
(772) 877-1125
Entity
Organization
Contact information
Practice address
11200 SW VILLAGE PKWY STE 100, PORT SAINT LUCIE, FL 34987-2383
(772) 877-1125
(772) 800-5039
Mailing address
11200 SW VILLAGE PKWY STE 100, PORT SAINT LUCIE, FL 34987-2383
(772) 877-1125
(772) 800-5039
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
05/31/2020
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