Organization
DISCOUNT PHARMACY OF PINES LLC
Active
Other names
Discount Pharmacy of Pines LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TRUXELL (OWNER)
(954) 817-3577
Entity
Organization
Contact information
Practice address
12201 PEMBROKE RD, PEMBROKE PINES, FL 33025-1725
(954) 885-4285
(866) 232-2143
Mailing address
12201 PEMBROKE RD, PEMBROKE PINES, FL 33025-1725
(954) 885-4285
(866) 232-2143
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359000
—
FL
01
—
1043405
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/02/2009
Last updated
06/07/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us