Organization
SHEPPARD APOTHECARY
Active
Other names
Royal Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SHEPPARD PHARMD (OWNER/PHARMACIST)
(850) 675-6990
Entity
Organization
Contact information
Practice address
3793 HIGHWAY 4, JAY, FL 32565-1756
(850) 675-6990
(850) 675-6991
Mailing address
PO BOX 575, JAY, FL 32565-0575
(850) 675-6990
(850) 675-6991
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26280
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006680400
—
FL
01
—
2136298
PK
—
Enumeration date
07/31/2012
Last updated
05/10/2016
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