Organization
PHYSICIAN SPECIALTY PHARMACY LLC
Active
Other names
Physician Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW FISHER (DIRECTOR)
(850) 462-9555
Entity
Organization
Contact information
Practice address
6258 N W ST, PENSACOLA, FL 32505-1903
(850) 462-9555
(850) 462-9554
Mailing address
6258 N W ST, PENSACOLA, FL 32505-1903
(850) 462-9555
(850) 462-9554
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH28308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146913
PK
—
Enumeration date
07/21/2014
Last updated
04/13/2017
About Stedi
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