NPI 1295811032 · live from the CMS NPI Registry
A.G. Holley State Hospital
Pharmacy, Institutional Pharmacy in Lantana, FL. National Provider Identifier 1295811032, active.
NPI record
| NPI | 1295811032 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Institutional Pharmacy 3336I0012X |
| Practice location | 1199 Lantana Rd, Lantana, FL 33462 |
| Practice phone | 561-540-3721 |
| Enumerated | October 27, 2006 |
| Last updated | June 13, 2008 |
| Authorized official | Jerry Stambaugh, Pharmacist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Institutional Pharmacy primary | 3336I0012X | PH0016562 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.