Grandmas Country Pharmacy INC
NPI #1689657454 in Fort Mc Coy, Florida
Provider Information
- NPI Number
- 1689657454
- Entity Type
- Organization
- Organization Name
- Grandmas Country Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 25, 2005
- Last Updated
- Sep 4, 2014
Practice Location
- Address
- 11386 E HIGHWAY 316
- City
- Fort Mc Coy
- State
- Florida
- ZIP Code
- 32134-8114
- Phone
- (352) 236-0407
Authorized Official
- Name
- MARIANNE GLORIUS
- Title
- PRESIDENT
- Phone
- (362) 236-0407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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