Organization
S.A.S.B. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN D NELSON PHARMACIST (OWNER)
(863) 763-5100
Entity
Organization
Contact information
Practice address
203 SW PARK ST, OKEECHOBEE, FL 34972-4160
(863) 763-5100
(863) 763-7550
Mailing address
203 SW PARK ST, OKEECHOBEE, FL 34972-4160
(863) 763-5100
(863) 763-7550
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1045738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045738
PHARMACY NABP NUMBER
FL
Enumeration date
12/16/2013
Last updated
12/16/2013
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