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Organization

SPECIALTY CARE RX

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY FRIEDMAN (CEO)
(954) 709-4540
Entity
Organization

Contact information

Practice address
1856 N PINE ISLAND RD, PLANTATION, FL 33322-5202
(954) 423-1147
(954) 423-1957
Mailing address
1856 N PINE ISLAND RD, PLANTATION, FL 33322-5202

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
3336M0002X
Mail Order Pharmacy
Primary
PH20122
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1006661
OTHER ID NUMBER
Enumeration date
02/27/2007
Last updated
12/12/2007
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