Organization
POLARFROGRX INC
Active
Other names
SoWal Health & Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN JOSEPH PETRUCCI RPH. (PRESIDENT)
(850) 424-7438
Entity
Organization
Contact information
Practice address
9375 EMERALD COAST PKWY W STE 27B, MIRAMAR BEACH, FL 32550-7222
(850) 424-7438
(850) 396-0587
Mailing address
9375 EMERALD COAST PKWY W STE 27B, MIRAMAR BEACH, FL 32550-7222
(850) 424-7438
(850) 396-0587
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
TBD
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
08/15/2018
Last updated
03/23/2023
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