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Organization
PHYTOGENIX RX
Active
Organization
PHYTOGENIX RX
Active
Parent organization
PHYTOGENICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYTOGENICS LLC
Authorized official
GISELE PEAN PHARMD (PIC)
(866) 749-8679
Entity
Organization
Contact information
Practice address
4501 NW 31ST AVE STE 4, OAKLAND PARK, FL 33309-3403
(754) 223-7701
Mailing address
4501 NW 31ST AVE STE 4, OAKLAND PARK, FL 33309-3403
(754) 223-7701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/16/2021
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