Organization
FIVE POINTS PHARMACY OF COCOA LLC
Active
Other names
Five Points Pharmacy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON WRIGHT (OWNER)
(321) 806-3951
Entity
Organization
Contact information
Practice address
1108 LAKE DR, COCOA, FL 32922-8678
(321) 636-8433
Mailing address
1108 LAKE DR, COCOA, FL 32922-8678
(321) 636-8433
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5708093
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/15/2011
Last updated
03/20/2024
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