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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