Organization
ST OF FL DESOTO JUVENILE CORRECTIONAL FACILITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN RILEY (SUPERINTENDENT)
(863) 491-5367
Entity
Organization
Contact information
Practice address
5871 SE HIGHWAY 31, ARCADIA, FL 34266-7679
(863) 491-5367
(863) 993-4735
Mailing address
5871 SE HIGHWAY 31, ARCADIA, FL 34266-7679
(863) 491-5367
(863) 993-4735
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PH18403
FL
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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