Organization
IV STAT INC
Active
Other names
IV STAT INC
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MCMORROW PHARM D (PHCY MGR)
(850) 226-8162
Entity
Organization
Contact information
Practice address
533 EGLIN PKWY NE, FORT WALTON BEACH, FL 32547-2829
(850) 226-8162
(850) 226-8485
Mailing address
533 EGLIN PKWY NE, FORT WALTON BEACH, FL 32547-2829
(850) 226-8162
(850) 226-8485
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH16174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020028
—
AL
05
—
106516500
—
FL
01
—
2011657
PK
—
Enumeration date
08/31/2006
Last updated
01/11/2023
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