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WISES DRUG STORE INC NPI 1942340864


NPI Information

NPI: 1942340864
Provider Name: WISES DRUG STORE INC

Doing Business As: WISE'S PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 10D2197820

Address:
708 SW 4TH AVE
GAINESVILLE, FL
ZIP 32601
Phone: (352) 376-8286
Get Directions

WISES DRUG STORE INC is a community/retail pharmacy pharmacy in Gainesville, FL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WISES DRUG STORE INC NPI is 1942340864. The provider is registered as an organization entity type.
The provider Is Doing Business As Wise's Pharmacy.

The provider's business location address is:

708 SW 4TH AVE
GAINESVILLE, FL
ZIP 32601-427
Phone: (352) 376-8286
Fax: (352) 374-3799

The provider's authorized official is Edgar H Wise .
The authorized official title is President and has the following contact phone number (904) 727-8362.

The CLIA number assigned to this NPI record is 10D2197820 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 12/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyPH374FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1673317498MEDICAIDFLORIDA
2103626200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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