Organization
MD OMEGA PHARMACY
Active
Other names
MD OMEGA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA CASTRO RPT (CO-OWNER/ TREASURER)
(561) 547-7710
Entity
Organization
Contact information
Practice address
4915 S DIXIE HWY, WEST PALM BEACH, FL 33405-2926
(561) 547-7710
(561) 547-7719
Mailing address
4915 S DIXIE HWY, WEST PALM BEACH, FL 33405-2926
(561) 547-7710
(561) 547-7719
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032214800
—
FL
01
—
2009668
PK
—
Enumeration date
09/04/2007
Last updated
02/20/2017
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