Organization
NH PHARMACY
Active
Organization
NH PHARMACY
Active
Other names
Medix Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NADER HENRY RPH (OWNER, PIC, AO)
(954) 530-4793
Entity
Organization
Contact information
Practice address
4850 W OAKLAND PARK BLVD UNIT 106-108, LAUDERDALE LAKES, FL 33313-7260
(954) 530-4793
(954) 870-6494
Mailing address
4850 W OAKLAND PARK BLVD UNIT 106-108, LAUDERDALE LAKES, FL 33313-7260
(954) 530-4793
(954) 870-6494
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157709
PK
—
Enumeration date
01/22/2016
Last updated
03/01/2017
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