OrganizationActive
Service Drug Store Inc
NPI 1417148396 · Community/Retail Pharmacy · Graceville, FL
Provider details
- NPI number
- 1417148396
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Stacy Cook, Owner/President(850) 263-3257
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5341 Brown St.
Graceville, FL 32440
Phone: (850) 263-3257
Fax: (850) 263-3220
Street-level locationGet directions
Mailing address
P.o. Box 216
Graceville, FL 32440
Registry dates
- Enumerated
- 2007-08-06
- Last updated
- 2013-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.