Organization
MEDIFIXX MTM PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA TITILOLA WACHUKU PHARMD,CDE,CPH,BCACP (DIRECTOR OF PHARMACY)
(561) 729-1123
Entity
Organization
Contact information
Practice address
2601 SW GALLERY CIR, PALM CITY, FL 34990-3147
(561) 729-1123
Mailing address
2601 SW GALLERY CIR, PALM CITY, FL 34990-3147
(561) 729-1123
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS 45818
FL
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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