Organization
DIABETIC CARE RX LLC
Active
Other names
Patient Care America
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE HEFLEY PHARM D (DIRECTOR OF PHARMACY)
(866) 348-0441
Entity
Organization
Contact information
Practice address
3890 PARK CENTRAL BLVD N, POMPANO BEACH, FL 33064-2264
(866) 348-0441
(888) 443-5034
Mailing address
3890 PARK CENTRAL BLVD N, POMPANO BEACH, FL 33064-2264
(866) 348-0441
(888) 443-5034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH22190
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031604100
—
FL
01
—
2006491
PK
—
Enumeration date
07/22/2006
Last updated
09/26/2018
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