Healthcare Provider Details

I. General information

NPI: 1508296252
Provider Name (Legal Business Name): GOOD HOMES PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2013
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8873 WEST COLONIAL DRIVE
OCOEE FL
34761-6951
US

IV. Provider business mailing address

8873 WEST COLONIAL DRIVE
OCOEE FL
34761-6951
US

V. Phone/Fax

Practice location:
  • Phone: 407-253-2933
  • Fax: 407-253-2911
Mailing address:
  • Phone: 407-253-2933
  • Fax: 407-253-2911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH 27106
License Number StateFL

VIII. Authorized Official

Name: MR. AAFAQ SHEIKH
Title or Position: PHARMACY MANAGER
Credential: RPH
Phone: 407-491-5582