Organization
CHEM RX OF BOCA RATON LLC
Active
Other names
CHEM RX
Organization subpart
No
Provider details
NPI number
Authorized official
IRA PROTAS (GENERAL MANG)
(954) 426-9322
Entity
Organization
Contact information
Practice address
5001 NW 13TH AVE, STE H AND I, POMPANO BEACH, FL 33064-8649
(954) 426-9322
(954) 426-9377
Mailing address
5001 NW 13TH AVE, STE H AND I, POMPANO BEACH, FL 33064-8649
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH23134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031664
OTHER ID NUMBER
—
Enumeration date
01/16/2008
Last updated
02/01/2008
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