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Organization
PARK SHORE DRUG INC
Active
Organization
PARK SHORE DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT D GILLIS R.PH. (PRESIDENT)
(954) 349-0369
Entity
Organization
Contact information
Practice address
600 ANSIN BLVD, HALLANDALE BEACH, FL 33009-2118
(954) 874-4646
(954) 455-3718
Mailing address
600 ANSIN BLVD, HALLANDALE BEACH, FL 33009-2118
(954) 874-4646
(954) 455-3718
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH13376
FL
Other
Enumeration date
10/16/2006
Last updated
06/22/2012
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