Provider Demographics
NPI:1518067826
Name:HARRINGTONS PHARMACY NO 1
Entity Type:Organization
Organization Name:HARRINGTONS PHARMACY NO 1
Other - Org Name:HARRINGTONS ACQUISITIONS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP CHAIN COMPLIANCE OPS
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-503-8880
Mailing Address - Street 1:5400 RUSTIC TRL
Mailing Address - Street 2:STE B
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-3242
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2675 WINKLER AVE
Practice Address - Street 2:STE 190
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-9342
Practice Address - Country:US
Practice Address - Phone:239-939-3949
Practice Address - Fax:239-939-5566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH22150333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1077141OtherOTHER ID NUMBER-COMMERCIAL NUMBER