Rock 3

NPI 1194055244 - Pharmacy - 3336C0003X

NPI Details
NPI 1194055244
Enumeration Date 01/12/2010
Last Updated 04/22/2016
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JOHN JOHN
Position PHARMACY MANAGER
Phone (321) 567-4919
Fax
Practice Location
2448 US HIGHWAY 1
MIMS FL, 32754-3854, US
Phone (321) 567-4919
Fax
Business Location
PO BOX 410917
MELBOURNE FL, 32941-0917, US
Phone (850) 292-1917
Fax (321) 259-3330
Toxanomy
Taxonomy Code 3336C0003X
License State Florida
License Number PH24391
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According to our database, Rock 3 NPI is 1194055244, taxonomy code is 3336C0003X and license number is PH24391, license state is located at Florida. Rock 3 physically located at 2448 Us Highway 1, Mims FL, 32754-3854. NPI Number 1033115704 has the healthcare provider type.

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1194055244 NPI number is provided on an as is basis without warranty of any kind. 1194055244 is maintained by the National Plan & Provider Enumeration System. The contents of Rock 3 are for informational purposes only.