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Organization

NDBP LLC

Active
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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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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