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Organization

CENTERWELL PHARMACY, INC.

Active
Other names
PrescribeIT Rx - Bird Road
Organization subpart
No

Provider details

NPI number
Authorized official
SEAN LYSINGER (VP)
(502) 580-2376
Entity
Organization

Contact information

Practice address
10401 SW 40TH ST, MIAMI, FL 33165-3745
(305) 221-9657
(305) 222-2084
Mailing address
10749 MARKS WAY, MIRAMAR, FL 33025-3976
(800) 526-1489
(800) 526-1491

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH21906
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026512800
FL
05
028296100
FL
01
2014346
PK
Enumeration date
10/23/2006
Last updated
02/24/2026
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