Organization
SEWALL'S POINT PHARMACY INC
Active
Organization
SEWALL'S POINT PHARMACY INC
Active
Other names
Sewall's Point Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTAL TOTTERMAN PHARMD (PRESIDENT)
(772) 600-8077
Entity
Organization
Contact information
Practice address
3754 SE OCEAN BLVD STE B, STUART, FL 34996-6700
(726) 008-0777
Mailing address
3754 SE OCEAN BLVD STE B, STUART, FL 34996-6700
(772) 600-8077
(772) 600-5576
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5744671
NCPDP
—
01
—
PH32759
STATE BOARD OF PHARMACY
FL
Enumeration date
03/17/2020
Last updated
02/06/2021
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