Organization · Type 2 NPI
Moultrie Pharmacy Inc
Long Term Care Pharmacy · St. Augustine, FL
NPI number
1891656203
Active
Practice location
3690 US Highway 1 S
St. Augustine, FL 32086-6498
Mailing address
7707 Merrill Rd Unit 8664
Jacksonville, FL 32239-7728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Long Term Care Pharmacy Primary | 3336L0003X | None listed |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Another provider at this address
Other long term care pharmacy providers in St. Augustine
About NPI 1891656203
Moultrie Pharmacy Inc's National Provider Identifier is 1891656203, issued on Nov 24, 2025. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in St. Augustine, FL. The record was last updated on Nov 24, 2025.