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Goldtree Rx Llc
Compounding Pharmacy in Port St Lucie, Florida
NPI 1740530013

Goldtree Rx Llc is a Compounding Pharmacy based in Port St Lucie, FL and is specialized in Compounding Pharmacy. Goldtree Rx Llc practices in Port St Lucie, FL. The NPI Number for Goldtree Rx Llc is 1740530013 and holds a License No. (Florida).

The current practice location address for Goldtree Rx Llc is 1401 Se Goldtree Dr Ste 103, Port St Lucie, FL and can be reached out via phone at 772-237-4426.

Location: 1401 Se Goldtree Dr Ste 103, Port St Lucie, FL, 34952-7584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740530013
Provider Name
Goldtree Rx Llc
Credential
Provider Entity Type
Organization
Address
1401 Se Goldtree Dr Ste 103, Port St Lucie, FL, 34952-7584
Phone Number
772-237-4426
Fax Number
Provider Enumeration Date
09/14/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5711773 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1401 Se Goldtree Dr Ste 103
City
Port St Lucie
State
Florida
Zip
34952-7584
Phone Number
772-237-4426
Fax Number
person
Provider Business Mailing Address Details
Address
1401 Se Goldtree Dr Ste 103
City
Port St Lucie
State
Florida
Zip
34952-7584
Phone Number
772-237-4426
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PH26113 (Florida)
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
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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