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Service Drug Store Inc

Community/Retail Pharmacy in Graceville, FL · enumerated 2007 · authorized official Stacy Cook, Owner/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417148396

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Registry record

Entity type Organization (Type 2)
Legal business name Service Drug Store Inc
Practice address 5341 Brown St., Graceville, FL, 32440
Fax (850) 263-3220
Enumeration date Aug 6, 2007
Last updated in NPPES Nov 15, 2013

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PH25848 (FL) Primary

Authorized official

Name Stacy Cook
Title Owner/President

Other identifiers

Identifier Type State Issuer
100454901 Medicaid FL -
100454900 Medicaid FL -
1039153 Other FL NABP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Service Drug Store Inc?
The NPI for Service Drug Store Inc is 1417148396, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Service Drug Store Inc?
NPPES lists Stacy Cook (Owner/President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-15.