Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Other names
Memorial Regional Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IRFAN MIRZA (INTERIM CHIEF FINANCIAL OFFICER)
(954) 265-5696
Entity
Organization
Contact information
Practice address
1150 N 35TH AVE, SUITE 105, HOLLYWOOD, FL 33021
(954) 265-1299
(954) 276-0292
Mailing address
1150 N 35TH AVE, SUITE 105, HOLLYWOOD, FL 33021
(954) 265-1299
(954) 276-0292
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH8171
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046674-00
—
FL
05
—
0046674-01
—
FL
01
—
2010548
PK
—
Enumeration date
02/08/2007
Last updated
12/23/2025
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