Organization
DISPENSING PHYSICIAN CONSULTANT
Active
Other names
IRAS DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE DROGARIS (OWNER)
(561) 455-0090
Entity
Organization
Contact information
Practice address
4900 LINTON BLVD, STE 21 AND 22, DELRAY BEACH, FL 33445-6688
(561) 455-0090
(561) 455-0091
Mailing address
4900 LINTON BLVD, STE 21 AND 22, DELRAY BEACH, FL 33445-6688
(561) 455-0090
(561) 455-0091
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH20127
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032355100
PTAN
FL
01
—
1006673
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
5239150001
PTAN
FL
Enumeration date
10/12/2006
Last updated
01/04/2017
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