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General NPI Number Information
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NPI Number | 1578756516
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Entity Type | Organization
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Legal Business Name | FAITH PHARMACY, INC
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 575 10TH ST E
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City | PALMETTO
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State | FL
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Zip | 34221-4013
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Country | US
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Telephone | 941-729-2021
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Fax | 941-729-2123
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Provider Business Mailing Address
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Address Line | 575 10TH ST E
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City | PALMETTO
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State | FL
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Zip | 34221-4013
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Country | US
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Telephone | 941-729-2021
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Fax | 941-729-2123
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Authorized Official
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Title or Position | CEO
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Name | MRS. CELINA OKPALEKE
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Credential |
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Telephone | 941-729-2021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PH21445
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License Number State | FL
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