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17TH STREET DISCOUNT PHARMACY INC

Medical Equipment Supplier Yellow Pages

Ocala, Florida

Provider NPI: 1346410537

Organization Information:
Organization Name:  17TH STREET DISCOUNT PHARMACY INC


Practice Location:
2506 SE 17TH ST STE B  OCALA, FL 34471 US
Tel: 352-351-3330  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
Y3336C0003XSuppliers
Pharmacy
FLPH19628

Other Provider Identifiers:

IssuerNumberStateType
PK200650001
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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