Organization
PHARMAMEDRX LLC
Active
Other names
Mint Pharmacy and Skin Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOONEY THOMPSON (DIRECTOR OF PHARMACY OPERATIONS)
(866) 855-6468
Entity
Organization
Contact information
Practice address
17006 SEVEN PINES DR STE 500, SUITE 500, SPRING, TX 77379-5562
(866) 855-6468
Mailing address
1201 US HIGHWAY 1, STE 1, NORTH PALM BEACH, FL 33408-3550
(866) 855-6468
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160421
PK
—
Enumeration date
06/01/2016
Last updated
06/03/2016
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