Organization
J-M WARD ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BREWER (OWNER/ PHARMACY TECH)
(239) 221-7233
Entity
Organization
Contact information
Practice address
9048 BONITA BEACH RD SE, BONITA SPRINGS, FL 34135-4237
(239) 221-7233
(239) 221-7282
Mailing address
9048 BONITA BEACH RD SE, BONITA SPRINGS, FL 34135-4237
(239) 221-7233
(239) 221-7282
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH24311
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050171
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/19/2009
Last updated
11/16/2017
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