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Organization

A PLUS PHARMACY & MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTOINE MOURANI RPH (PHARMACIST IN CHARGE)
(954) 687-0774
Entity
Organization

Contact information

Practice address
1303 SE 17TH ST, SUITE D1, FORT LAUDERDALE, FL 33316-1722
(954) 687-0774
(954) 752-3989
Mailing address
1303 SE 17TH ST, SUITE D1, FORT LAUDERDALE, FL 33316-1722
(954) 687-0774
(954) 752-3989

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH30690
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PH30690
FL
333600000X
Pharmacy
Primary
PH30690
FL
3336S0011X
Specialty Pharmacy
PH30690
FL

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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