Healthcare Provider Details

I. General information

NPI: 1366306532
Provider Name (Legal Business Name): SOWAL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9375 EMERALD COAST PKWY W STE 6
MIRAMAR BEACH FL
32550-7275
US

IV. Provider business mailing address

9375 EMERALD COAST PKWY W STE 6
MIRAMAR BEACH FL
32550-7275
US

V. Phone/Fax

Practice location:
  • Phone: 850-797-2711
  • Fax:
Mailing address:
  • Phone: 850-797-2711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. SONIA PETRUCCI
Title or Position: OWNER
Credential: PHARMD
Phone: 305-903-1782