Organization
OCOEE PHARMACY, INC
Active
Other names
FIRST CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL RANDOLPH PHARMD (VICE PRESIDENT/PHARMACIST IN CHARGE)
(423) 506-6243
Entity
Organization
Contact information
Practice address
186 CREEKSIDE DR, OCOEE, TN 37361
(423) 299-9029
Mailing address
PO BOX 297, OCOEE, TN 37361-0297
(423) 299-9029
(423) 299-9250
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5645
TN
Other
Enumeration date
03/09/2015
Last updated
10/23/2015
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