Organization
EXECUTIVE PHARMACY LLC
Active
Other names
Executive Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD ARTEAGA PHARMACY (MR.)
(954) 368-0901
Entity
Organization
Contact information
Practice address
4300 N UNIVERSITY DR, STE E-200, SUNRISE, FL 33351-6249
(954) 368-0901
(800) 918-4152
Mailing address
4300 N UNIVERSITY DR, STE E-200, SUNRISE, FL 33351-6249
(954) 368-0901
(800) 918-4152
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23608
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142644
PK
—
Enumeration date
10/09/2008
Last updated
09/26/2016
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