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Organization

SAMPLE SQUARE PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUNO BALBI (OWNER)
(954) 573-5083
Entity
Organization

Contact information

Practice address
428 E SAMPLE RD, POMPANO BEACH, FL 33064-4424
(954) 573-5083
(954) 783-5083
Mailing address
428 E SAMPLE RD, POMPANO BEACH, FL 33064-4424
(954) 573-5083
(954) 783-5083

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
05/04/2010
Last updated
05/04/2010
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