Organization Name: | A1A PHARMACY, LLC |
NPI Number: | 1023405545 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD JAY GRIFFIN (OWNER) |
Mailing Address: | 200c Solana Rd Ponte Vedra Beach |
State: | FL US |
Postal Code: | 320822232 |
Phone Number: | 9043182515 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2015 |
NPI Last Update Date: | 04/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | 29038 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |