Seminole Pharmacy

NPI #1376072132 in Clewiston, Florida

Provider Information

NPI Number: 1376072132
Entity Type: Organization
Organization Name: Seminole Pharmacy
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: Jun 6, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 31055 JOSIE BILLIE HIGHWAY
City: Clewiston
State: Florida
ZIP Code: 33440
Phone: (863) 983-1197

Authorized Official

Name: MONICA OBAN
Title: PHARMACY PROGRAM MANAGER
Phone: (954) 965-1331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Pharmacy - Clinic Pharmacy — Clinic Pharmacy	3336C0002X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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