Organization
J H HARVEY CO LLC
Active
Other names
HARVEYS SUPERMARKET PHARMACY #63
Organization subpart
No
Provider details
NPI number
Authorized official
ROY WILSON (DIRECTOR OF PHARMACY)
(229) 686-9411
Entity
Organization
Contact information
Practice address
5010 W TENNESSEE ST, TALLAHASSEE, FL 32304-3554
(850) 575-2380
(850) 575-3047
Mailing address
PO BOX 1000, PORTLAND, ME 04104-5005
(207) 885-3161
(207) 885-3121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH21683
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH21683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031337800
—
FL
01
—
1013818
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/27/2006
Last updated
08/12/2008
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