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Organization
WOODMONT PHARMACY CORP
Active
Organization
WOODMONT PHARMACY CORP
Active
Other names
Cypress Pharmacy & Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA M CHANNER RPH (PRESIDENT-PHARMACY MANAGER)
(754) 206-4250
Entity
Organization
Contact information
Practice address
6331 N ANDREWS AVE, FORT LAUDERDALE, FL 33309-2143
(754) 206-4250
(754) 206-4254
Mailing address
6331 N ANDREWS AVE, FORT LAUDERDALE, FL 33309-2143
(754) 206-4250
(754) 206-4254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS31529
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000587300
—
FL
01
—
000587301
MEDICAID DME
FL
Enumeration date
01/26/2007
Last updated
10/07/2013
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