A.g. Holley State Hospital

NPI #1295811032 in Lantana, Florida

Provider Information

NPI Number
1295811032
Entity Type
Organization
Organization Name
A.g. Holley State Hospital
Primary Specialty
Pharmacy - Institutional Pharmacy
Enumeration Date
Oct 27, 2006
Last Updated
Jun 13, 2008

Practice Location

Address
1199 LANTANA RD
State
Florida
ZIP Code
33462-1514
Phone
(561) 540-3721

Authorized Official

Name
MS. JERRY JEAN STAMBAUGH, RPH
Title
PHARMACIST
Phone
(561) 540-3721

Specialties & Taxonomy Codes

Specialty
Pharmacy - Institutional PharmacyInstitutional Pharmacy

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