Organization
HEDGES PRESCRIPTION SHOP OF SARASOTA INC
Active
Other names
Hedges Healthmart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS CHARLES MOTTRAM RPH (OWNER)
(941) 366-2424
Entity
Organization
Contact information
Practice address
24 N LIME AVE, SARASOTA, FL 34237-6120
(941) 366-2424
(941) 954-6043
Mailing address
24 N LIME AVE, SARASOTA, FL 34237-6120
(941) 366-2424
(941) 954-6043
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
PH22632
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH22632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031907400
—
FL
05
—
031907401
—
FL
01
—
1020255
NABP NUMBER
FL
Enumeration date
09/14/2006
Last updated
05/16/2019
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