Provider Demographics
NPI:1376750679
Name:ORANGE COUNTY MEDICAL CLINIC PHARMACY
Entity Type:Organization
Organization Name:ORANGE COUNTY MEDICAL CLINIC PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:407-836-9225
Mailing Address - Street 1:101 S WESTMORELAND DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-2258
Mailing Address - Country:US
Mailing Address - Phone:407-836-7160
Mailing Address - Fax:407-836-9222
Practice Address - Street 1:101 S WESTMORELAND DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-2258
Practice Address - Country:US
Practice Address - Phone:407-836-7160
Practice Address - Fax:407-836-9222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH1115261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local