Organization
GENERIC DEPOT 2 INC
Active
Other names
CONSUMERS SAVING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SCHWARTZ (PRESIDENT)
(954) 442-4429
Entity
Organization
Contact information
Practice address
1461 N PALM AVE, PEMBROKE PINES, FL 33026-3228
(954) 442-4429
(954) 442-4429
Mailing address
1461 N PALM AVE, PEMBROKE PINES, FL 33026-3228
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH0015730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1079614
OTHER ID NUMBER
—
Enumeration date
05/02/2007
Last updated
09/13/2007
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