Organization
DMD PHARMACY SERVICES LLC
Active
Other names
THE VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROMBRO (PRES)
(954) 944-4104
Entity
Organization
Contact information
Practice address
13460 SW 10TH ST, STE 101, PEMBROKE PINES, FL 33027-1833
(954) 450-0212
(954) 450-2808
Mailing address
110 CENTURY BLVD, 1ST FLOOR, WEST PALM BEACH, FL 33417-2262
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH20124
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006700
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
11/07/2007
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