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Organization
YOUR DRUGGIST INC
Active
Organization
YOUR DRUGGIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY DYEN (PRESIDENT)
(954) 753-2090
Entity
Organization
Contact information
Practice address
8091 W SAMPLE RD, CORAL SPRINGS, FL 33065-4713
(954) 753-2090
(954) 341-9315
Mailing address
8091 W SAMPLE RD, CORAL SPRINGS, FL 33065-4713
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH8106
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045411
OTHER ID NUMBER
—
05
—
104979800
—
FL
05
—
104979801
—
FL
Enumeration date
10/31/2006
Last updated
07/10/2008
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