Provider Demographics
NPI:1114009875
Name:CHEEK & SCOTT DRUGS INC
Entity Type:Organization
Organization Name:CHEEK & SCOTT DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:386-754-5377
Mailing Address - Street 1:4785 W US HIGHWAY 90
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32055-5125
Mailing Address - Country:US
Mailing Address - Phone:386-754-5377
Mailing Address - Fax:386-754-5153
Practice Address - Street 1:4785 W US HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-5125
Practice Address - Country:US
Practice Address - Phone:386-754-5377
Practice Address - Fax:386-754-5153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336S0011X, 333600000X
FLPH237303336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109265500Medicaid
2117383OtherPK
FL109265500Medicaid
FL608000Medicaid
0297480003Medicare NSC