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

Moultrie Pharmacy Inc

Organization Long Term Care Pharmacy · NPI 1891656203

Moultrie Pharmacy Inc is a Long Term Care Pharmacy in St Augustine, Florida. Registered with an NPI since 2025.

In the registry since
2025
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
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1891656203
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMoultrie Pharmacy Inc
Authorized official Kevin Duane — Owner · (904) 765-3531
Other names Moultrie Pharmacy Ltc
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address7707 Merrill Rd Unit 8664, Jacksonville, FL 32239-7728

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