MEDICARE: DRUG STORE AND MORE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	PH16829	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518024116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRUG STORE AND MORE INC

Provider Business Mailing Address
First Line	:	8305 GARDEN RD
Second Line	:	SUITE1-3
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33404-1709
Country	:	US
Telephone Number	:	561-842-4456
Fax Number	:	561-842-9515

Provider Business Practice Location Address
First Line	:	8305 GARDEN RD
Second Line	:	SUITE 1-3
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33404-1709
Country	:	US
Telephone Number	:	561-842-4456
Fax Number	:	561-842-9515

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MRS. DOMINIQUE BARTEET
Credential	:	REGISTERED PHARMACIS
Telephone Number	:	561-842-4456

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	05/05/2010

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Directions to “DRUG STORE AND MORE INC ” Practice Location

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