Organization
WORLD TRIUMPH MEDICAL
Active
Other names
WORLD TRIUMPH MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG OLSON CPH (MNGER)
(941) 366-0090
Entity
Organization
Contact information
Practice address
2850 RINGLING BLVD, SARASOTA, FL 34237-5346
(941) 366-0090
(941) 954-5535
Mailing address
2850 RINGLING BLVD, SARASOTA, FL 34237-5346
(941) 366-0090
(941) 954-5535
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH14197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101129400
—
FL
01
—
1035915
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/04/2006
Last updated
01/25/2011
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