Organization
OSBORNE PHARM II INC
Active
Other names
Medical Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER OSBORNE (PRESIDENT/OWNER)
(954) 474-3887
Entity
Organization
Contact information
Practice address
201 NW 82ND AVE, STE 101, PLANTATION, FL 33324-7808
(954) 474-3887
(954) 475-3180
Mailing address
201 NW 82ND AVE, STE 101, PLANTATION, FL 33324-7808
(954) 474-3887
(954) 475-3180
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000974100
—
FL
01
—
2132898
PK
—
Enumeration date
02/08/2007
Last updated
02/21/2024
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