Organization
NDBP LLC
Active
Other names
SAMPLE SQUARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BHARAT PATEL (PHCY MGR / PRESIDENT)
(954) 785-7747
Entity
Organization
Contact information
Practice address
523 E SAMPLE RD, POMPANO BEACH, FL 33064-4425
(954) 785-7747
(954) 785-7450
Mailing address
523 E SAMPLE RD, POMPANO BEACH, FL 33064-4425
(954) 785-7747
(954) 785-7450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043152
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/05/2009
Last updated
10/19/2010
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