Organization
NABE PHARMACY, LLC
Active
Organization
NABE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDO RODRIGUEZ (PRESIDENT)
(954) 368-6626
Entity
Organization
Contact information
Practice address
906 W SUNRISE BLVD STE B, FORT LAUDERDALE, FL 33311-7131
(954) 368-6626
(954) 827-0868
Mailing address
8751 NW 157TH TER, MIAMI LAKES, FL 33018-1412
(305) 527-3189
(954) 827-0868
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PP048
—
FL
Enumeration date
05/19/2021
Last updated
08/03/2024
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