| NPI | 1467709709 |
|---|---|
| Doing Business As | FLORIDA WELLNESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KRUTIKA PATEL Chief Executive Officer 813-966-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CT PCN.0002952) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: VT 360119892) |
| 333600000X Pharmacy (Licence: FL PH26197) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NH NR1318) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MD PO7088) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NJ 28RO00110800) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OH NRP022608200.02) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2017-01-18 |