Organization
UMATILLA PHARMACY INC
Active
Other names
Umatilla Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON CORKREAN PHARMD (PRESIDENT)
(352) 409-1061
Entity
Organization
Contact information
Practice address
901 N CENTRAL AVE, UMATILLA, FL 32784-8655
(352) 669-1166
(352) 669-8866
Mailing address
PO BOX 1250, SAN ANTONIO, FL 33576-1250
(352) 409-1061
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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