Organization
A C NATIONAL PHARMACY , INC
Active
Other names
AC NATIONAL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH CORDERO (VP)
(954) 582-1293
Entity
Organization
Contact information
Practice address
896B N FEDERAL HWY, POMPANO BEACH, FL 33062-4316
(954) 582-1293
(954) 582-1294
Mailing address
896B N FEDERAL HWY, POMPANO BEACH, FL 33062-4316
(954) 582-1293
(954) 582-1294
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029897
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/11/2007
Last updated
07/26/2010
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