Organization
PSRP INC
Active
Other names
Ron's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RONAK PATEL (PHARMACY MANAGER)
(848) 219-4847
Entity
Organization
Contact information
Practice address
2977 W COMMERCIAL BLVD, FORT LAUDERDALE, FL 33309-3502
(954) 580-3006
(954) 828-0096
Mailing address
2977 W COMMERCIAL BLVD, FORT LAUDERDALE, FL 33309-3502
(954) 580-3006
(954) 828-0096
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25691
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132055
PK
—
Enumeration date
09/19/2011
Last updated
12/11/2014
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