Organization
BUTTERFIELD PHARMACY & MEDICAL SUPPLY AT SLW LLC
Active
Other names
BUTTERFIELD PHARMACY AND MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A WRIGHT (OWNER)
(772) 489-3700
Entity
Organization
Contact information
Practice address
1707 NW SAINT LUCIE WEST BLVD, SUITE 166, PORT ST LUCIE, FL 34986
(772) 323-2090
(772) 323-2091
Mailing address
1707 NW SAINT LUCIE WEST BLVD, SUITE 166, PORT ST LUCIE, FL 34986-2517
(772) 323-2090
(772) 323-2091
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22976
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032241500
—
FL
01
—
2010018
PK
—
Enumeration date
10/16/2007
Last updated
07/20/2018
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