Organization
DIABETIC CARE RX LLC
Active
Other names
Patient Care America
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE HEFLEY (DIRECTOR OF PHARMACY OPERATIONS)
(954) 473-4717
Entity
Organization
Contact information
Practice address
3890 PARK CENTRAL BLVD N, POMPANO BEACH, FL 33064-2264
(954) 473-4717
(954) 473-9519
Mailing address
3890 PARK CENTRAL BLVD N, POMPANO BEACH, FL 33064-2264
(954) 473-4717
(954) 473-9519
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PH22190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150528
PK
—
Enumeration date
02/25/2015
Last updated
06/17/2016
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