Organization
THE PHARMACY LLC
Active
Other names
The Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS CLARK RPH (PHARMACIST/OWNER)
(321) 208-8999
Entity
Organization
Contact information
Practice address
333 SOUTH PLUMOSA STREET, MERRITT ISLAND, FL 32952-4891
(321) 208-8999
(844) 837-4163
Mailing address
333 SOUTH PLUMOSA STREET, MERRITT ISLAND, FL 32952-4891
(321) 208-8999
(844) 837-4163
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26255
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015628300
—
FL
01
—
2136915
PK
—
Enumeration date
09/10/2012
Last updated
05/14/2021
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