Organization
DAVIE PILL BOX LLC
Active
Other names
Pill Box Pharmacy Davie
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BOHAN (OWNER/PHARMACIST/MANAGER)
(954) 475-7455
Entity
Organization
Contact information
Practice address
7701 NOVA DR, DAVIE, FL 33324-5833
(954) 475-7455
(954) 475-7031
Mailing address
7701 NOVA DR, DAVIE, FL 33324-5833
(954) 475-7455
(954) 475-7031
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166136
PK
—
Enumeration date
11/07/2016
Last updated
12/18/2016
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