Organization
SOUTHERN STATES PHARMACY
Active
Organization
SOUTHERN STATES PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR ONESTA HARVEY (OWNER)
(561) 487-3808
Entity
Organization
Contact information
Practice address
4047 OKEECHOBEE BLVD, SUITE #120, WEST PALM BEACH, FL 33409-3239
(561) 487-3808
Mailing address
4047 OKEECHOBEE BLVD, SUITE #120, WEST PALM BEACH, FL 33409-3239
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24848
FL
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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