Organization
PALM BEACH PHARMA CORP
Active
Organization
PALM BEACH PHARMA CORP
Active
Other names
Palm Beach Pharma Corp
Organization subpart
No
Provider details
NPI number
Authorized official
ILDIKO SIPOS (P/CEO)
(561) 650-0236
Entity
Organization
Contact information
Practice address
235 PERUVIAN AVE STE 3, PALM BEACH, FL 33480-4695
(561) 650-0236
(561) 650-0237
Mailing address
PO BOX 2134, PALM BEACH, FL 33480-2134
(561) 650-0236
(561) 650-0237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH28139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012723900
—
FL
01
—
2147000
PK
—
Enumeration date
07/21/2014
Last updated
01/13/2016
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