Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Other names
Memorial Primary Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH CARPENTER (EXECUTIVE VICE PRESIDENT)
(954) 265-2995
Entity
Organization
Contact information
Practice address
4105 PEMBROKE RD, HOLLYWOOD, FL 33021-8103
(954) 985-4837
Mailing address
4105 PEMBROKE RD, HOLLYWOOD, FL 33021-8103
(954) 985-4837
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020938
NABP
FL
Enumeration date
02/07/2007
Last updated
10/12/2021
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