Organization
CREATIVE PHARMACY SOLUTIONS EAST LLC
Active
Other names
Pharmacy Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MOON (PRESIDENT/OWNER)
(716) 720-5121
Entity
Organization
Contact information
Practice address
7779 STARKEY RD, SEMINOLE, FL 33777-4346
(727) 381-9799
(716) 708-6248
Mailing address
2535 JOHNS PL, JAMESTOWN, NY 14701-9210
(716) 720-5121
(716) 708-6248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH30191
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102422500
—
FL
01
—
2159609
PK
—
Enumeration date
07/02/2005
Last updated
07/13/2022
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