Organization
PHYTOGENICS LLC
Active
Other names
PHYTOGENICS SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOELLE M MOLIERE RPH MPH (CEO/PIC)
(954) 612-5831
Entity
Organization
Contact information
Practice address
4501 NW 31ST AVE, OAKLAND PARK, FL 33309-3403
(954) 612-5831
(800) 532-0764
Mailing address
4501 NW 31ST AVE, OAKLAND PARK, FL 33309-3403
(954) 612-5831
(800) 532-0764
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23251
FL
3336C0004X
Compounding Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011517
PK
—
Enumeration date
05/21/2008
Last updated
01/06/2026
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