Organization
LOCATEL STORES OPERATIONS, LLC
Active
Other names
Locatel Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE RUAH (CEO)
(954) 416-1219
Entity
Organization
Contact information
Practice address
1715 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4621
(954) 416-1202
(954) 416-1203
Mailing address
1715 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4621
(954) 416-1200
(954) 416-1207
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
PH20154
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH20154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026988300
—
FL
Enumeration date
02/27/2007
Last updated
12/01/2010
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