Organization
SOUTHERN HILLS PHARMACY LLC
Active
Other names
SOUTHERN HILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GARVEY PINKSTON (CEO)
(850) 590-2622
Entity
Organization
Contact information
Practice address
1739 N UNIVERSITY DR, PLANTATION, FL 33322-4111
(850) 590-2622
(954) 990-8125
Mailing address
1739 N UNIVERSITY DR, PLANTATION, FL 33322-4111
(850) 590-2622
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29133
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015407100
—
FL
01
—
2152202
PK
—
Enumeration date
08/19/2014
Last updated
02/15/2017
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