Organization
NEW LIFE PHARMACY & MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO REID PHARM.D (PHARMACIST IN CHARGE)
(305) 766-3392
Entity
Organization
Contact information
Practice address
11200 SW VILLAGE PKWY STE 100, PORT ST LUCIE, FL 34987-2383
(772) 877-1125
Mailing address
11200 SW VILLAGE PKWY STE 100, PORT ST LUCIE, FL 34987-2383
(772) 877-1125
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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