Service Drug Store INC
NPI #1417148396 in Graceville, Florida
Provider Information
- NPI Number
- 1417148396
- Entity Type
- Organization
- Organization Name
- Service Drug Store INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 6, 2007
- Last Updated
- Nov 15, 2013
Practice Location
- Address
- 5341 BROWN ST.
- City
- Graceville
- State
- Florida
- ZIP Code
- 32440
- Phone
- (850) 263-3257
Authorized Official
- Name
- MRS. STACY M COOK, PHARMD
- Title
- OWNER/PRESIDENT
- Phone
- (850) 263-3257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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