Organization
PETER BOTROS PHARMACY INC
Active
Other names
Peter's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHALBY KAMEL (PRESIDENT & OWNER)
(386) 734-8477
Entity
Organization
Contact information
Practice address
121 VICTORIA COMMONS BLVD, SUITE #102, DELAND, FL 32724
(386) 734-8477
(386) 734-8488
Mailing address
121 VICTORIA COMMONS BLVD, SUITE #102, DELAND, FL 32724
(386) 734-8477
(386) 734-8488
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23396
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000362700
—
FL
01
—
2128204
PK
—
Enumeration date
06/13/2008
Last updated
08/02/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us