Organization
PHARMAMEDRX LLC
Active
Other names
Mint Pharmacy and Skin Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOONEY THOMPSON (DIRECTOR OF PHARMACY OPERATIONS)
(866) 855-6468
Entity
Organization
Contact information
Practice address
1201 US HIGHWAY 1 STE 1, NORTH PALM BEACH, FL 33408-3546
(866) 855-6468
(561) 619-5169
Mailing address
1201 US HIGHWAY 1, SUITE 1, NORTH PALM BEACH, FL 33408-3550
(866) 855-6468
(561) 619-5169
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
4635
IA
3336C0003X
Community/Retail Pharmacy
0214001819
VA
3336C0003X
Community/Retail Pharmacy
14722/7.1
MS
3336C0003X
Community/Retail Pharmacy
1648-43
WI
3336C0003X
Community/Retail Pharmacy
264992
MN
3336C0003X
Community/Retail Pharmacy
400-1538
SD
3336C0003X
Community/Retail Pharmacy
P07139
MD
3336C0003X
Community/Retail Pharmacy
Primary
PH29738
FL
3336M0002X
Mail Order Pharmacy
PHY.007319-NR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157904
PK
—
Enumeration date
01/08/2016
Last updated
06/23/2016
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