Organization
CUBANE LLC
Active
Other names
Sourcerx
Organization subpart
No
Provider details
NPI number
Authorized official
HAYDEN COLLIER PHARMD (PHARMACIST IN CHARGE)
(888) 862-2772
Entity
Organization
Contact information
Practice address
8170 OKEECHOBEE BLVD STE 4, WEST PALM BEACH, FL 33411-2159
(888) 862-2772
Mailing address
8170 OKEECHOBEE BLVD STE 4, WEST PALM BEACH, FL 33411-2159
(888) 862-2772
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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