| Fruitville Pharmacy | |
|
170 N Lime Ave Sarasota FL 34237-6122 | |
| (941) 776-4000 | |
| Not Available |
| Full Name | Fruitville Pharmacy |
|---|---|
| Speciality | Pharmacy |
| Location | 170 N Lime Ave, Sarasota, Florida |
| Authorized Official Name and Position | Melvin B Price (PRESIDENT & CEO) |
| Authorized Official Contact | 9417764000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fruitville Pharmacy 101 Riverfront Blvd Ste 710 Bradenton FL 34205-8812 Ph: (941) 776-4000 | Fruitville Pharmacy 170 N Lime Ave Sarasota FL 34237-6122 Ph: (941) 776-4000 |
| NPI Number | 1720686355 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720686355 | NPI | - | NPPES |
| 110402000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Secondary |
| 333600000X | Pharmacy | () | Primary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | () | Secondary |
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