Organization
VILLAGE PHARMACY, LLC
Active
Other names
VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ANIBAL CABRAL (MANAGING MEMBER)
(954) 428-3784
Entity
Organization
Contact information
Practice address
1804 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-1402
(954) 428-3784
(954) 428-3783
Mailing address
1804 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-1402
(954) 428-3784
(954) 428-3783
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH24818
PHARMACY LICENSE
FL
Enumeration date
02/09/2010
Last updated
11/15/2010
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