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Organization

EZ CARE PHARMACY INC

Active
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Organization

EZ CARE PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARTUR KRASNOPOLSKIY (OWNER)
(718) 314-3282
Entity
Organization

Contact information

Practice address
3353 SHERIDAN ST STE D, HOLLYWOOD, FL 33021-3632
(954) 981-0614
(954) 981-0663
Mailing address
3353 SHERIDAN ST STE D, HOLLYWOOD, FL 33021-3632
(954) 981-0614
(954) 981-0663

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH24872
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH24872
FL
3336L0003X
Long Term Care Pharmacy
PH25248
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003082200
FL
01
003082201
MEDICAID DME
FL
Enumeration date
09/15/2010
Last updated
07/07/2015
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