Healthcare Provider Details

I. General information

NPI: 1508473414
Provider Name (Legal Business Name): TU TE WELLNESS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8563 ARGYLE BUSINESS LOOP STE 1
JACKSONVILLE FL
32244-6613
US

IV. Provider business mailing address

8563 ARGYLE BUSINESS LOOP STE 1
JACKSONVILLE FL
32244-6613
US

V. Phone/Fax

Practice location:
  • Phone: 904-672-7604
  • Fax: 904-300-3126
Mailing address:
  • Phone: 904-838-1331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARGARET A SALITURO
Title or Position: MANAGING PARTNER
Credential:
Phone: 904-672-7604