Organization · Type 2 NPI

Hendry County Hospital Authority

Community/Retail Pharmacy · Clewiston, FL

NPI number 1336937408 Active

Practice location

542 W Sagamore Ave Bldg E
Clewiston, FL 33440-3514

Fax (863) 254-3011

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Home Infusion Therapy Pharmacy	3336H0001X	None listed
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: 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 …

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NPI record

NPI: 1336937408
Entity type: Organization (Type 2)
Issued: Apr 29, 2025
Last updated: Jul 28, 2026
Status: Active

Other names

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Hendry Regional Outpatient Pharmacy · doing business as
Hendry Regional Outpatient Pharmacy · doing business as

Authorized official

David Michael Theroux
Chief Operating Officer
(863) 902-3051

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336937408

Hendry County Hospital Authority's National Provider Identifier is 1336937408, issued on Apr 29, 2025. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Clewiston, FL. The record was last updated on Jul 28, 2026.