Organization
PALM MEDICINE INC
Active
Other names
Palm Medicine Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SHAHNAZARIAN (OWNER/ PHARMACIST)
(954) 336-9097
Entity
Organization
Contact information
Practice address
2711 E ATLANTIC BLVD, POMPANO BEACH, FL 33062-4941
(954) 532-7940
(954) 876-1286
Mailing address
2711 E ATLANTIC BLVD, POMPANO BEACH, FL 33062-4941
(954) 532-7940
(954) 876-1286
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5711127
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/06/2012
Last updated
08/01/2012
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