Organization
SCOTTS PHARMACY LLC
Active
Other names
SCOTTS PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RON SCOTT RPH (OWNER, PIC)
(850) 587-2511
Entity
Organization
Contact information
Practice address
6505 HIGHWAY 29 N, MOLINO, FL 32577-5276
(850) 587-2511
(850) 587-3169
Mailing address
6505 HIGHWAY 29 N, MOLINO, FL 32577-5276
(850) 587-2511
(850) 587-3169
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH18360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022416200
—
FL
05
—
100200026
—
AL
05
—
100200026
—
FL
01
—
2013570
PK
—
Enumeration date
06/22/2006
Last updated
11/21/2014
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