Organization Name: | SHEPPARD APOTHECARY |
NPI Number: | 1851647515 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL SHEPPARD (OWNER/PHARMACIST) |
Mailing Address: | 3793 Highway 4 Jay |
State: | FL US |
Postal Code: | 325651756 |
Phone Number: | 8506756990 |
Fax Number: | 8506756991 |
NPI Enumeration Date: | 07/31/2012 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |