Organization
PHARMEDICO PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAT M NGUYEN PHARMD, CPH (OWNER)
(941) 952-3959
Entity
Organization
Contact information
Practice address
6206 N LOCKWOOD RIDGE RD, SARASOTA, FL 34243-2529
(941) 952-3959
(941) 706-4254
Mailing address
6206 N LOCKWOOD RIDGE RD, SARASOTA, FL 34243-2529
(941) 952-3959
(941) 706-4254
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
PH31298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176759
PK
—
Enumeration date
03/23/2018
Last updated
12/16/2021
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