Organization
WAMU LLC
Active
Other names
One Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH SHOYOYE PHARND (CEO/PHARMACIST/CO-OWNER)
(386) 447-8944
Entity
Organization
Contact information
Practice address
85 CYPRESS POINT PKWY UNIT B, PALM COAST, FL 32164-8455
(386) 447-8944
(386) 447-8940
Mailing address
85 CYPRESS POINT PKWY UNIT B, PALM COAST, FL 32164-8455
(386) 447-8944
(386) 447-8940
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH30024
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH30024
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159154
PK
—
Enumeration date
03/07/2016
Last updated
01/06/2021
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