Organization
PHARMAMEDRX LLC
Active
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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