Healthcare Provider Details

I. General information

NPI: 1952944126
Provider Name (Legal Business Name): HEALTHY SOLUTIONS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2019
Last Update Date: 10/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 TONEY PENNA DR STE 1B
JUPITER FL
33458-5746
US

IV. Provider business mailing address

155 TONEY PENNA DR STE 1B
JUPITER FL
33458-5746
US

V. Phone/Fax

Practice location:
  • Phone: 561-203-8589
  • Fax: 561-203-5153
Mailing address:
  • Phone: 561-203-8589
  • Fax: 561-203-5153

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: THOMAS DEFRANCO
Title or Position: SOLE MBR
Credential: RPH
Phone: 561-203-8589