Healthcare Provider Details

I. General information

NPI: 1609913359
Provider Name (Legal Business Name): GENERAL PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 09/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 57TH AVE W
BRADENTON FL
34207-3647
US

IV. Provider business mailing address

1409 57TH AVE W
BRADENTON FL
34207-3647
US

V. Phone/Fax

Practice location:
  • Phone: 941-755-2951
  • Fax: 941-752-4651
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPH11433
License Number StateFL

VIII. Authorized Official

Name: SCOTT NICHOLS
Title or Position: PHARMACIST
Credential:
Phone: 941-755-2951