| Famu Pharmacy | |
|
438 W Brevard St Suite 11 Tallahassee FL 32301-1004 | |
| (850) 412-5490 | |
| (850) 412-5491 |
| Full Name | Famu Pharmacy |
|---|---|
| Speciality | Clinic/center |
| Location | 438 W Brevard St, Tallahassee, Florida |
| Authorized Official Name and Position | Marlon Honeywell (ASSOCIATE DEAN/PROFESSOR) |
| Authorized Official Contact | 8505993301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Famu Pharmacy 438 W Brevard St Suite 11 Tallahassee FL 32301-1004 Ph: (850) 412-5490 | Famu Pharmacy 438 W Brevard St Suite 11 Tallahassee FL 32301-1004 Ph: (850) 412-5490 |
| NPI Number | 1275722308 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 05/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275722308 | NPI | - | NPPES |
| PH21824 | Other | FL | PHARMACY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PH21824 (Florida) | Primary |
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