George Warren Jr., R.PH.
Individual provider Active NPI Pharmacist · Eustis, FL
NPI 1154463396 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154463396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS 18611 (FL)
- Practice address
- 2 E Magnolia Ave
Eustis, FL 32726-3417 - Phone
- (352) 357-4341
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 18611 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Pharmacy, Inc. | Past | Accepting new patients | |
| Bay Pharmacy, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS 18611 | FL | Yes |
Addresses
Primary practice location
2 E Magnolia Ave
Eustis, FL 32726-3417
Mailing address
2805 Joanna Dr
Eustis, FL 32726-7112
Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.