OrganizationActive
Mulberry Ltc Pharmacy, LLC
NPI 1750561619 · Long Term Care Pharmacy · Mulberry, FL
Provider details
- NPI number
- 1750561619
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Becky Preston, Vice President(863) 425-1101
- License
- PH22964 (FL)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(88/100 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
1011 N Church Ave
Mulberry, FL 33860-2039
Phone: (863) 425-1101
Fax: (863) 425-2802
Street-level locationGet directions
Mailing address
Po Box 797
Mulberry, FL 33860-0797
Other names (DBA / former)
- Former legal business name
- Mulberry Pharmacy Inc.
Registry dates
- Enumerated
- 2007-11-08
- Last updated
- 2022-07-21
- Certified
- 2022-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.