Provider Demographics
NPI:1750010047
Name:PALM BEACH APOTHECARY ARTS LLC
Entity Type:Organization
Organization Name:PALM BEACH APOTHECARY ARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CLAYPOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:561-427-3646
Mailing Address - Street 1:140 JUPITER LAKES BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7196
Mailing Address - Country:US
Mailing Address - Phone:561-427-3646
Mailing Address - Fax:561-532-0444
Practice Address - Street 1:140 JUPITER LAKES BLVD STE B
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7196
Practice Address - Country:US
Practice Address - Phone:561-427-3646
Practice Address - Fax:561-532-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy