Provider Demographics
NPI:1407941123
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 FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-362-2591
Mailing Address - Street 1:1520 OHIO AVE S
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32064-4514
Mailing Address - Country:US
Mailing Address - Phone:386-362-4404
Mailing Address - Fax:386-362-1658
Practice Address - Street 1:1520 OHIO AVE S
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:FL
Practice Address - Zip Code:32064-4514
Practice Address - Country:US
Practice Address - Phone:386-362-4404
Practice Address - Fax:386-362-1658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH702332B00000X, 333600000X, 3336C0003X, 333600000X, 3336C0003X, 333600000X
FLPH00007023336S0011X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100831500Medicaid
FL100831501Medicaid
FL101707680Medicaid
FL109264300Medicaid
FL101243602Medicaid
FL100831500Medicaid