Healthcare Provider Details

I. General information

NPI: 1386969665
Provider Name (Legal Business Name): HUDSON PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 11/18/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8117 STATE ROAD 52
HUDSON FL
34667-6728
US

IV. Provider business mailing address

8117 STATE ROAD 52
HUDSON FL
34667
US

V. Phone/Fax

Practice location:
  • Phone: 727-378-5882
  • Fax: 727-378-5883
Mailing address:
  • Phone: 727-378-5882
  • Fax: 727-378-5883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH24554
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CODEY DULMAINE
Title or Position: CEO
Credential:
Phone: 813-484-1023