# PGRX WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHYTO CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992578611
- **Authorized official:** DR. JOELLE M MOLIERE RPH, MPH, FAARFM, (CEO/FUNCTIONAL MEDICINE SPECIALIST)
- **Authorized official phone:** (954) 612-5831

## Contact information

- **Practice address:** 4501 NW 31ST AVE, OAKLAND PARK, FL 33309-3403
- **Practice address phone:** (754) 223-7701
- **Practice address fax:** (754) 300-5998
- **Mailing address:** 4501 NW 31ST AVE, OAKLAND PARK, FL 33309-3403
- **Mailing address phone:** (754) 223-7701
- **Mailing address fax:** (754) 300-5998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/03/2023
- **Last updated:** 01/06/2026