Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moultrie Pharmacy Inc

Organization Pharmacy · NPI 1740270099

Moultrie Pharmacy Inc is a Pharmacy in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3690 US Highway 1 S
St Augustine, FL 32086-6498
Phone: (904) 794-1399
Fax: (904) 794-1193
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH19146 (FL)
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1740270099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Delaine McCarty — Owner · (904) 794-1399
Other names Moultrie Pharmacy
NPI enumeratedOctober 27, 2005
Last updated in NPPESMarch 29, 2017
Mailing address3690 Us Highway 1 S, St Augustine, FL 32086-6498

Other providers in St Augustine