Organization
PHARM MART INC
Active
Other names
Pharm Mart Inc
Organization subpart
No
Provider details
NPI number
Authorized official
FRED NIZNIK (PRESIDENT)
(305) 354-8640
Entity
Organization
Contact information
Practice address
1129 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4502
(305) 354-8640
Mailing address
1129 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4502
(305) 354-8640
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
24339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051729
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/30/2009
Last updated
12/17/2009
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