Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Other names
Memorial Regional Hospital South Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IRFAN MIRZA (INTERIM CHIEF FINANCIAL OFFICER)
(954) 265-5696
Entity
Organization
Contact information
Practice address
777 S DOUGLAS RD, PEMBROKE PINES, FL 33025-1353
(954) 518-5670
(954) 581-2185
Mailing address
3600 WASHINGTON ST, HOLLYWOOD, FL 33021-8216
(954) 265-5501
(954) 985-5194
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103709900
—
FL
01
—
2010154
PK
—
Enumeration date
11/21/2012
Last updated
12/23/2025
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