Organization
MY COMMUNITY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEROEN RABIEIFAR PHARM D (VICE PRESIDENT/PHARMACIST)
(561) 876-4043
Entity
Organization
Contact information
Practice address
2615 STATE ROAD 7, SUITE B530, WELLINGTON, FL 33414
(561) 753-6768
(561) 753-6763
Mailing address
2615 STATE ROAD 7, SUITE B530, WELLINGTON, FL 33414
(561) 753-6768
(561) 753-6763
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PH24114
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003711000
—
FL
Enumeration date
08/27/2009
Last updated
05/27/2015
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