Healthcare Provider Details

I. General information

NPI: 1124003728
Provider Name (Legal Business Name): CIRCLE 'S' PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 01/17/2022
Certification Date: 01/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 BACOM POINT RD STE 100
PAHOKEE FL
33476-2102
US

IV. Provider business mailing address

323 BACOM POINT RD STE 100
PAHOKEE FL
33476-2102
US

V. Phone/Fax

Practice location:
  • Phone: 561-924-5238
  • Fax: 561-924-5239
Mailing address:
  • Phone: 561-924-5238
  • Fax: 561-924-5239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS22839
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH18729
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ARNALDO MIGUEL GARCIA JR.
Title or Position: PRESIDENT OWNER
Credential: RPH
Phone: 561-924-5238