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Active NPI 1205356086 Organization (Entity Type 2)

Pace Pharmacy, Llc

Pharmacy - Community/Retail Pharmacy • Pace, FL

About Pace Pharmacy, Llc NPI 1205356086 Summary

Pace Pharmacy, Llc is a verified healthcare organization specializing in Pharmacy - Community/Retail Pharmacy operating in Pace, FL. Located at 4880 WOODBINE RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1205356086.

Administrative operations and authorized compliance are overseen by Stephen Burklow (Owner).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

4880 Woodbine Rd

Pace, FL 325718762

Telephone 8504634232
Fax 8504634236

Authorized Official Information

Authorized Contact Name

Stephen Burklow , RPH

Title / Role

Owner

Official Telephone

8504634232

Facility Classifications & Specialties

Pharmacy - Community/Retail Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 3336C0003X

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.

Pharmacy - Community/Retail Pharmacy

NUCC Taxonomy Code: 3336C0003X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

9 Historical Events
📍
Updated Practice Location March 14, 2023

Registered at 4880 WOODBINE RD, PACE, FL 325718762 (Tel: 8504634232)

📍
Updated Business Mailing Address March 14, 2023

Registered at 4880 WOODBINE RD, PACE, FL 325718762 (Tel: 8504634232)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2023

Pharmacy

NPI Profile Active June 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2017

Registered at 5741 QUINTETTE RD, PACE, FL 325719711 (Tel: (850) 463-4232)

📍
Updated Business Mailing Address June 22, 2017

Registered at 5741 QUINTETTE RD, PACE, FL 325719711 (Tel: 8504634232)

🏛️
Organization / Clinic Name Updated June 22, 2017

Operating as PACE PHARMACY, LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2017

Pharmacy (License #PENDING in FL)

🟢
Initial NPI Registration & Enumeration June 22, 2017

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1205356086
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 22, 2017
Last Update: March 14, 2023

Mailing Address

4880 Woodbine Rd

Pace, FL 325718762

Phone: 8504634232

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.