Extended Care Pharmacy East INC
NPI #1821375460 in East Palatka, Florida
Provider Information
- NPI Number
- 1821375460
- Entity Type
- Organization
- Organization Name
- Extended Care Pharmacy East INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 10, 2011
- Last Updated
- Aug 7, 2012
Practice Location
- Address
- 305 S US HIGHWAY 17
- City
- East Palatka
- State
- Florida
- ZIP Code
- 32131-4092
- Phone
- (386) 326-4487
Authorized Official
- Name
- MARK CASEY PHILLIPS
- Title
- CPT/OWNER
- Phone
- (386) 326-4487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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