Organization
DMD PHARMACY SERVICES LLC
Active
Other names
VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROMBRO (OWNER)
(954) 426-9899
Entity
Organization
Contact information
Practice address
1804 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-1402
(954) 426-9899
(954) 418-9899
Mailing address
110 CENTURY BLVD, 1ST FLOOR, WEST PALM BEACH, FL 33417-2262
(561) 615-4554
(561) 681-9933
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026060600
—
FL
01
—
1098664
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
03/10/2010
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