Organization
DIACARERX INC
Active
Other names
DIACARERX INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KREBS (PRESIDENT)
(800) 920-0411
Entity
Organization
Contact information
Practice address
11 S DIXIE HWY, LAKE WORTH, FL 33460-3727
(800) 977-7698
(888) 886-4995
Mailing address
11 S DIXIE HWY, LAKE WORTH, FL 33460-3727
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22207
FL
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019923
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
10/15/2008
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