Healthcare Provider Details

I. General information

NPI: 1225949472
Provider Name (Legal Business Name): PRESCRIPTIONS UNLIMITED SDOC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 NOVA RD UNIT 102
SAINT CLOUD FL
34771
US

IV. Provider business mailing address

2521 13TH ST STE A
SAINT CLOUD FL
34769-4103
US

V. Phone/Fax

Practice location:
  • Phone: 407-750-9313
  • Fax: 407-750-9314
Mailing address:
  • Phone: 407-892-7166
  • Fax: 407-892-0546

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 Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ERIC JOHN LARSON
Title or Position: AUTHORIZED MEMBER
Credential: PHARMD
Phone: 407-892-7166