A.g. Holley State Hospital
A.g. Holley State Hospital is an Institutional Pharmacy in Lantana, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
1199 Lantana RdLantana, FL 33462-1514
Phone: (561) 540-3721
Fax: (561) 545-0372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Institutional Pharmacy (primary) | Taxonomy 3336I0012X · Licence PH0016562 (FL) |
|---|
Record details
| NPI number | 1295811032 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Stambaugh — Pharmacist · (561) 540-3721 |
| NPI enumerated | October 27, 2006 |
| Last updated in NPPES | June 13, 2008 |
| Mailing address | 1199 Lantana Rd, Lantana, FL 33462-1514 |