Organization
PARK DRUGS INC
Active
Other names
PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JUSTICE RPH (MGR)
(772) 287-3201
Entity
Organization
Contact information
Practice address
700 SE OCEAN BLVD, STUART, FL 34994-2332
(772) 287-3201
(772) 286-7341
Mailing address
700 SE OCEAN BLVD, STUART, FL 34994-2332
(772) 287-3201
(772) 286-7341
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH6391
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101577000
—
FL
01
—
2009400
PK
—
Enumeration date
10/27/2006
Last updated
02/20/2017
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