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NPI 1295811032

OrganizationActive

A.g. Holley State Hospital

NPI 1295811032 · Institutional Pharmacy · Lantana, FL

Provider details

NPI number: 1295811032
Entity type: Organization
Primary specialty: Institutional PharmacySuppliers
Authorized official: Jerry Stambaugh, Pharmacist
License: PH0016562 (FL)

Practice location

1199 Lantana Rd

Lantana, FL 33462-1514

Phone: (561) 540-3721

Fax: (561) 545-0372

More FL providers

Mailing address

1199 Lantana Rd

Lantana, FL 33462-1514

Registry dates

Enumerated: 2006-10-27
Last updated: 2008-06-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

A.g. Holley State Hospital — NPI 1295811032, Lantana, FL | NPI Central