Organization
SIGNATURE PHARMACY INC
Active
Other names
SIGNATURE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI LOOMIS RPH (PRES)
(407) 447-9844
Entity
Organization
Contact information
Practice address
2304 ALOMA AVE, WINTER PARK, FL 32792-3330
(407) 673-2222
(407) 673-1234
Mailing address
2304 ALOMA AVE, WINTER PARK, FL 32792-3330
(407) 673-2222
(407) 673-1234
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH18485
FL
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022043400
—
FL
01
—
1095149
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
07/01/2010
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