Organization
EVERWELL SPECIALTY PHARMACY, LLC
Active
Organization
EVERWELL SPECIALTY PHARMACY, LLC
Active
Parent organization
REVELATION PHARMACY, LLC
Other names
Pensacola Apothecary, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
REVELATION PHARMACY, LLC
Authorized official
BRANDON CONTI PHARMD (PIC)
(850) 712-7659
Entity
Organization
Contact information
Practice address
6506 N DAVIS HWY, PENSACOLA, FL 32504-6957
(850) 473-9190
(850) 473-9935
Mailing address
6506 N DAVIS HWY, PENSACOLA, FL 32504-6957
(850) 473-9190
(850) 473-9935
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH19748
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008486400
—
FL
01
—
2007134
PK
—
Enumeration date
09/13/2007
Last updated
08/17/2023
Update your record
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