Physician Specialty Pharmacy
Pharmacy at W St, Pensacola, FL

License number
Colorado 6483
Issued Date
Aug 27, 2014
Renew Date
Nov 1, 2016
Expiration Date
Oct 31, 2018
Type
Prescription Drug Outlet Out of State
Address
Address
6258 N W St W, Pensacola, FL 32505
LicenseFiles verified this license of Dec 9, 2016 at the Colorado - Department of Regulatory Agencies.

Organization information

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PHYSICIAN SPECIALTY PHARMACY, LLC

6258 N W St, Pensacola, FL 32505

Industry:
Medical Doctor's Office Ret Drugs/Sundries
Registration:
May 5, 2014
State ID:
L14000072562
Business type:
Florida Limited Liability Company
Manager:
Hydra Medical Ventures (Manager), 362 Gulf Breeze Pkwy UNIT 221, Gulf Breeze, FL 32561 (Physical)
Agent:
Perdido Bay Llc,38 S Blue Angel Pkwy #169, Pensacola, FL 32506 (Physical)
EIN:
46-5602080

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