Organization
ST CROIX MEDICAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY P MARCELIN (OWNER)
(954) 486-7101
Entity
Organization
Contact information
Practice address
4010 NW 34TH ST, LAUDERDALE LAKES, FL 33319-5721
(954) 486-7101
(954) 486-7102
Mailing address
4010 NW 34TH ST, LAUDERDALE LAKES, FL 33319-5721
(954) 486-7101
(919) 910-9152
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
01/24/2024
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