Organization
CENTURY BOCA LLC
Active
Other names
EXPRESS CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RUBIN (PRESIDENT)
(561) 756-3257
Entity
Organization
Contact information
Practice address
9045 LA FONTANA BLVD, STE 120, BOCA RATON, FL 33434-5636
(561) 852-4200
(561) 852-8889
Mailing address
7040 W PALMOTTO RD, SUITE 4842, BOCA RATON, FL 33433
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023439
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/01/2006
Last updated
12/13/2007
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