Organization
XUBEX PHARMACY LLC
Active
Other names
Xubex Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD HARIRI (CEO/PRESIDENT)
(908) 331-2030
Entity
Organization
Contact information
Practice address
500 STATE ROAD 436 STE 2064, CASSELBERRY, FL 32707-5392
(407) 378-2309
(866) 495-3304
Mailing address
500 SR 436 STE 2064, CASSELBERRY, FL 32707-5392
(407) 378-2309
(866) 495-3304
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH26324
FL
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5711824
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/13/2012
Last updated
01/31/2013
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