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Moultrie Pharmacy Inc
Compounding Pharmacy in St Augustine, Florida
NPI 1740270099

Moultrie Pharmacy Inc is a Compounding Pharmacy based in St Augustine, FL and is specialized in Compounding Pharmacy. Moultrie Pharmacy Inc practices in St Augustine, FL. The NPI Number for Moultrie Pharmacy Inc is 1740270099 and holds a License No. (Florida).

The current practice location address for Moultrie Pharmacy Inc is 3690 Us Highway 1 S, St Augustine, FL and can be reached out via phone at 904-794-1399 and via fax at 904-794-1193.

Location: 3690 Us Highway 1 S, St Augustine, FL, 32086-6498
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740270099
Provider Name
Moultrie Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
3690 Us Highway 1 S, St Augustine, FL, 32086-6498
Phone Number
904-794-1399
Fax Number
904-794-1193
Provider Enumeration Date
10/27/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
025956000 05 FL
025956001 05 FL
2015438 01 PK
686878996 05 FL
institution
Provider Business Practice Location Address Details
Address
3690 Us Highway 1 S
City
St Augustine
State
Florida
Zip
32086-6498
Phone Number
904-794-1399
Fax Number
904-794-1193
person
Provider Business Mailing Address Details
Address
3690 Us Highway 1 S
City
St Augustine
State
Florida
Zip
32086-6498
Phone Number
904-794-1399
Fax Number
904-794-1193
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PH19146 (Florida)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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