Organization
PHYTOGENIX RX
Active
Parent organization
PHYTOGENICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYTOGENICS LLC
Authorized official
GISELE PEAN PHARMD (PIC)
(866) 749-8679
Entity
Organization
Contact information
Practice address
4501 NW 31ST AVE STE 4, OAKLAND PARK, FL 33309-3403
(754) 223-7701
Mailing address
4501 NW 31ST AVE STE 4, OAKLAND PARK, FL 33309-3403
(754) 223-7701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/16/2021
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