Organization
INTRACARE HEALTH SERVICES
Active
Other names
Pharmacon, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MILES GILMAN PHARMD (DIRECTOR)
(888) 327-2233
Entity
Organization
Contact information
Practice address
160 SW 12TH AVE STE 101D, DEERFIELD BEACH, FL 33442-3114
(888) 327-2233
(888) 439-4453
Mailing address
160 SW 12TH AVE STE 101D, DEERFIELD BEACH, FL 33442-3114
(888) 327-2233
(888) 439-4453
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS19129
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
08/19/2020
Last updated
06/13/2022
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