SERVICE DRUG STORE INC
NPI 1417148396
Pharmacy - Community/Retail Pharmacy in Graceville, FL

Active since August 06, 2007
5341 BROWN ST., GRACEVILLE, FL 32440(850) 263-3257(850) 263-3220 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Service Drug Store Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERVICE DRUG STORE INC (NPI 1417148396) is a healthcare organization registered as a community/retail pharmacy in Graceville, Florida and active in the NPI registry since August 2007. The organization lists Stacy M Cook, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1417148396
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSERVICE DRUG STORE INC
Location Address5341 BROWN ST.Graceville, FL 32440
Mailing AddressP.o. Box 216Graceville, FL 32440 · (850) 263-3257 · Fax (850) 263-3220
Fax(850) 263-3220
Organization SubpartNo
Authorized OfficialStacy M CookOwner/president · (850) 263-3257
Enumeration DateAugust 6, 2007
Last NPPES UpdateNovember 15, 2013
NPI 1417148396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in FL · PH25848
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

5341 BROWN ST., Graceville, FL 32440

Other Identifiers 4

Other1039153FL · Nabp
Medicaid100454901FL
Medicare NSC6897530001
Medicaid100454900FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Service Drug Store Inc's NPI number?

The NPI number for Service Drug Store Inc is 1417148396. It was assigned to this organization in the NPPES registry on August 6, 2007.

Where is Service Drug Store Inc located?

Service Drug Store Inc is located at 5341 Brown St., Graceville, FL 32440. The listed phone number is (850) 263-3257.

What is Service Drug Store Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Service Drug Store Inc was last updated on November 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.