Healthcare Provider Details

I. General information

NPI: 1588312896
Provider Name (Legal Business Name): PARTNERS PHARMACY SHELL POINT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13880 SHELL POINT PLAZA SUITE 130
FT MYERS FL
33908
US

IV. Provider business mailing address

50 LAWRENCE RD
SPRINGFIELD NJ
07081-3121
US

V. Phone/Fax

Practice location:
  • Phone: 239-432-2400
  • Fax:
Mailing address:
  • Phone: 908-931-9111
  • Fax: 908-931-9119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES MATTHEWS
Title or Position: COO
Credential:
Phone: 609-206-2664