Organization
MILES S JUDAH, INC
Active
Other names
Pete's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILES S JUDAH RPH (OWNER PHARMACIST)
(863) 773-4525
Entity
Organization
Contact information
Practice address
457 CARLTON STREET, WAUCHULA, FL 33873-3400
(863) 773-4525
(863) 773-2842
Mailing address
457 CARLTON STREET, WAUCHULA, FL 33873-3400
(863) 773-4525
(863) 773-2842
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH6314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023340
NCPDP NUMBER
—
01
—
PH6314
STATE PHARMACY LICENSE
FL
Enumeration date
12/11/2006
Last updated
03/07/2023
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