Organization
PHARMACY 18, INC.
Active
Other names
Life Quality Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SOBLICK (PRESIDENT)
(561) 495-9200
Entity
Organization
Contact information
Practice address
82 SPRUCE ST, SUITE 118, MURRAY, KY 42071-2150
(561) 495-9200
(561) 495-0210
Mailing address
5180 W ATLANTIC AVE, SUITE 101, DELRAY BEACH, FL 33484-8103
(561) 495-9200
(561) 495-0210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
KY
333600000X
Pharmacy
Primary
P06805
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P8504
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/19/2005
Last updated
07/21/2022
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