Organization
OLD TOWN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HODGKINSON (BOOKKEEPER)
(386) 758-6770
Entity
Organization
Contact information
Practice address
26064 US- 19, OLD TOWN, FL 32680
(386) 758-6770
Mailing address
1756 SW BARNETT WAY, LAKE CITY, FL 32025-6953
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/21/2019
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