A.g. Holley State Hospital
Institutional Pharmacy
1199 Lantana Rd, Lantana
Florida, 33462-1514
561-540-3721 561-545-0372
A.g. Holley State Hospital is a Institutional Pharmacy in Lantana, Florida. It is located at 1199 Lantana Rd, Lantana and it's customer support contact number is 561-540-3721. The authorized person of A.g. Holley State Hospital is Ms. Jerry Jean Stambaugh, RPH who is Pharmacist of the pharmacy and her contact number is 561-540-3721. Active license number of A.g. Holley State Hospital is PH0016562 for Institutional Pharmacy in Florida.
A.g. Holley State Hospital is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
A.g. Holley State Hospital type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | A.g. Holley State Hospital |
| Type: | Institutional Pharmacy |
| Location: | 1199 Lantana Rd, Lantana,
Florida, 33462-1514 |
| Phone: | 561-540-3721 |
| Fax: | 561-545-0372 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Jerry Jean Stambaugh |
| Credentials: | RPH |
| Position: | Pharmacist |
| Contact Number: | 561-540-3721 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1295811032 |
| NPI Enumeration Date: | 27 Oct, 2006 |
| NPI Last Update On: | 13 Jun, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for A.g. Holley State Hospital are as mentioned below.
| Specialization | License Number | State | Status | |
| Institutional Pharmacy | PH0016562 | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0215171-00 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1199 Lantana Rd,
Lantana, Florida |
| Zip: | 33462-1514 |
| Phone Number: | 561-540-3721 |
| Fax Number: | 561-545-0372 |
Patients can reach A.g. Holley State Hospital at
1199 Lantana Rd, Lantana, Florida or can
call on customer care at 561-540-3721.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.