Healthcare Provider Details

I. General information

NPI: 1932242401
Provider Name (Legal Business Name): FLORIDA PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 09/09/2020
Certification Date: 09/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 NORTH MAIN STREET
FLORIDA NY
10921-0535
US

IV. Provider business mailing address

PO BOX 535
FLORIDA NY
10921-0535
US

V. Phone/Fax

Practice location:
  • Phone: 845-651-7878
  • Fax: 845-651-1300
Mailing address:
  • Phone: 845-651-7878
  • Fax: 845-651-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number018321
License Number StateNY

VIII. Authorized Official

Name: CHARLES LOUIS MURPHY
Title or Position: OWNER RPH
Credential:
Phone: 845-651-7878