Provider Demographics
NPI:1275085243
Name:CHEEK & SCOTT DRUGS INC
Entity Type:Organization
Organization Name:CHEEK & SCOTT DRUGS INC
Other - Org Name:CHEEK AND SCOTT DRUGS INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:386-362-2591
Mailing Address - Street 1:1150 US HIGHWAY 41 NW STE 13
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:FL
Mailing Address - Zip Code:32052-5889
Mailing Address - Country:US
Mailing Address - Phone:386-638-0101
Mailing Address - Fax:386-638-0102
Practice Address - Street 1:1150 US HIGHWAY 41 NW STE 13
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:FL
Practice Address - Zip Code:32052-5889
Practice Address - Country:US
Practice Address - Phone:386-638-0101
Practice Address - Fax:386-638-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH303953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109266200Medicaid
2166085OtherPK
FLATN651581Medicaid