Organization
LAS OLAS CHEMIST
Active
Organization
LAS OLAS CHEMIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC LEACH RPH (PRESIDENT)
(954) 462-4166
Entity
Organization
Contact information
Practice address
1211 EAST LAS OLAS BLVD, FT. LAUDERDALE, FL 33301-2331
(954) 462-4166
(954) 462-4186
Mailing address
1211 EAST LAS OLAS BLVD, FT. LAUDERDALE, FL 33301-2331
(954) 462-4166
(954) 462-4186
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH19947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026748100
—
FL
Enumeration date
11/02/2006
Last updated
11/11/2024
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