Provider Demographics
NPI:1043260714
Name:YPM TOTAL CARE PHARMACY
Entity type:Organization
Organization Name:YPM TOTAL CARE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-398-8169
Mailing Address - Street 1:5050 S FLORIDA AVE
Mailing Address - Street 2:STE 3
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2510
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5050 S FLORIDA AVE
Practice Address - Street 2:STE 3
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2510
Practice Address - Country:US
Practice Address - Phone:863-644-7600
Practice Address - Fax:863-644-7444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH218543336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1018539OtherOTHER ID NUMBER-COMMERCIAL NUMBER