Organization
PBR INVST CORP
Active
Other names
PALM BEACH PHARMACEUTICALS
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN STEPHANOS (PRESIDENT)
(561) 296-9200
Entity
Organization
Contact information
Practice address
8409 N MILITARY TRL, STE 125, WEST PALM BEACH, FL 33410-6316
(561) 775-6430
(561) 625-2498
Mailing address
8409 N MILITARY TRL, STE 125, WEST PALM BEACH, FL 33410-6316
(561) 775-6430
(561) 625-2498
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21811
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006466
PK
—
Enumeration date
07/22/2006
Last updated
04/13/2016
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